Healthcare Provider Details

I. General information

NPI: 1477038206
Provider Name (Legal Business Name): ANN DAORAI PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2018
Last Update Date: 09/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8540 SCARBOROUGH DR STE 200
COLORADO SPRINGS CO
80920-7513
US

IV. Provider business mailing address

4560 S BALSAM WAY APT 5307
DENVER CO
80123-7347
US

V. Phone/Fax

Practice location:
  • Phone: 719-632-8325
  • Fax: 719-630-8099
Mailing address:
  • Phone: 813-732-6637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0015597
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: