NPI 1811381783

Darin Moore, LATATC

Practitioner Rehabilitation Hospital Waldorf, MD

Practice location

Address: 11490 Acton Ln, Waldorf, MD 20601-9412
Phone: (301) 412-0772

Registered specialties

Rehabilitation Hospital Primary

Hospitals Taxonomy 283X00000X Licence A0000640 (MD)

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Registry record

NPI: 1811381783
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2015
Record last updated: 27 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.