| Molly Jean Fultz, PT, DPT | |
|
2000 E Oakley Park Rd Ste 101-b, Commerce Township, MI 48390-1500 | |
| (248) 387-5200 | |
| (248) 430-4141 |
| Full Name | Molly Jean Fultz |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2000 E Oakley Park Rd Ste 101-b, Commerce Township, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396502209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501303278 (Michigan) | Primary |
| Provider Name | Ivyrehab Michigan Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Jean Fultz, PT, DPT 503 Highland Ave, Clawson, MI 48017-2706 Ph: (269) 598-8080 | Molly Jean Fultz, PT, DPT 2000 E Oakley Park Rd Ste 101-b, Commerce Township, MI 48390-1500 Ph: (248) 387-5200 |
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1749 Haggerty Hwy, Commerce Township, MI 48390 Phone: 248-987-8947 Fax: 248-653-6695 | |
Mrs. Sarah Marie Kacic, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 Union Lake Rd, Commerce Township, MI 48382 Phone: 248-366-1188 | |
Bret Peters, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3050 Union Lake Rd Ste 3c, Commerce Township, MI 48382 Phone: 248-363-8267 Fax: 248-363-8367 | |
Anahita Kavarana, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8391 Commerce Rd, Suite 107, Commerce Township, MI 48382 Phone: 248-360-9881 | |
Sara A Hayes, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 2655 S Commerce Rd Ste 202, Commerce Township, MI 48390 Phone: 248-716-1819 | |
Sergio A Saco, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 881 Woodhaven Dr, Commerce Township, MI 48390 Phone: 949-872-9864 | |
Sheri Beth Brown, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2075 E West Maple Rd, Suite B204, Commerce Township, MI 48390 Phone: 248-926-0909 Fax: 248-624-3332 |