Provider Demographics
NPI:1427263813
Name:WILCOX, DARREN PATRICK (MS PT)
Entity type:Individual
Prefix:MR
First Name:DARREN
Middle Name:PATRICK
Last Name:WILCOX
Suffix:
Gender:M
Credentials:MS PT
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Mailing Address - Street 1:19070 E BAKER PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013
Mailing Address - Country:US
Mailing Address - Phone:303-337-3416
Mailing Address - Fax:
Practice Address - Street 1:8900 PENA BLVD
Practice Address - Street 2:DIA PHYSICAL THERAPY # B
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249
Practice Address - Country:US
Practice Address - Phone:303-317-0179
Practice Address - Fax:303-317-0193
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO6974225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist