Organization
DIAMOND PEAK PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODRIGO GIL MORENO DE MORA DPT (PRESIDENT)
(970) 593-1442
Entity
Organization
Contact information
Practice address
1542 TAURUS CT, LOVELAND, CO 80537-3280
(970) 593-1442
(970) 667-1740
Mailing address
1542 TAURUS CT, LOVELAND, CO 80537-3280
(970) 593-1442
(970) 667-1740
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6285
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64454720
—
CO
Enumeration date
03/26/2007
Last updated
04/27/2012
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