Desmond James Fulton, DPT | |
5601 96th Ave N Ste 100, Brooklyn Park, MN 55443-4505 | |
(763) 786-9543 | |
(763) 786-3320 |
Full Name | Desmond James Fulton |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 5601 96th Ave N Ste 100, Brooklyn Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538847272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13187 (Minnesota) | Primary |
Provider Name | Infinite Health Collaborative Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574 |
Mailing Address | Practice Location Address |
---|---|
Desmond James Fulton, DPT 4200 Dahlberg Dr Ste 300, Golden Valley, MN 55422-4841 Ph: (952) 512-5600 | Desmond James Fulton, DPT 5601 96th Ave N Ste 100, Brooklyn Park, MN 55443-4505 Ph: (763) 786-9543 |
Mrs. Lisa Kay Vanberkel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8559 Edinbrook Pkwy, #104, Brooklyn Park, MN 55443 Phone: 763-425-5461 | |
Audrey Anne Quanrud, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10000 Zane Ave N, Brooklyn Park, MN 55443 Phone: 763-572-5710 Fax: 763-569-6267 | |
Deborah Ann Zattoni, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5601 94th Ave N, Brooklyn Park, MN 55443 Phone: 763-401-2461 Fax: 479-935-2975 | |
Sara J. Hnath, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10000 Zane Ave N, Brooklyn Park, MN 55443 Phone: 763-572-5710 Fax: 763-569-6267 | |
Aegis Group Practice Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5601 94th Ave N, Brooklyn Park, MN 55443 Phone: 800-444-6845 Fax: 479-478-2852 | |
Jessica Lynn Olderness, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5601 96th Ave N Ste 100, Brooklyn Park, MN 55443 Phone: 763-786-9543 Fax: 763-786-3320 | |
Emily Anne Lesser, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9751 Regent Ave N, Brooklyn Park, MN 55443 Phone: 763-315-5340 |