Provider Demographics
NPI:1790092443
Name:PHAREZ, JOSEPH DARREN (PT, DPT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:DARREN
Last Name:PHAREZ
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 18TH ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-2499
Mailing Address - Country:US
Mailing Address - Phone:303-295-1403
Mailing Address - Fax:303-297-3021
Practice Address - Street 1:999 18TH ST
Practice Address - Street 2:SUITE 250
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-2499
Practice Address - Country:US
Practice Address - Phone:303-295-1403
Practice Address - Fax:303-297-3021
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL-10070225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist