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DR. DANIEL LEE MALOUFF PT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1558522359
Individual Registrant:DR. DANIEL LEE MALOUFF PT
Gender: M
Not Sole Proprietor
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
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
Tel: 719-852-7081 Fax: 719-587-1543
Registration Information:
NPI: 1558522359
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CO | 10011 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| STATE LICENCE | 10011 | CO | 01 |
