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DR. DANIEL LEE MALOUFF PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1558522359

Individual Registrant:
DR. DANIEL LEE MALOUFF PT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
95 WEST FIRST STREET  MONTE VISTA, CO 81144-1070 US
Tel: 719-852-7081  Fax: 719-587-1543

Contact information for business:
95 WEST FIRST STREET  MONTE VISTA, CO 81144-1070 US
Tel: 719-852-7081  Fax: 719-587-1543

Registration Information:
NPI: 1558522359
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CO10011

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
STATE LICENCE10011CO01




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