Thomas De Moulin, PT | |
7810 N Us Highway 89 Ste 280, Flagstaff, AZ 86004-6259 | |
(928) 522-8375 | |
(928) 522-8378 |
Full Name | Thomas De Moulin |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 7810 N Us Highway 89 Ste 280, Flagstaff, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295490696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 003273 (Arizona) | Primary |
Provider Name | Northern Arizona Healthcare Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
Mailing Address | Practice Location Address |
---|---|
Thomas De Moulin, PT 7810 N Us Highway 89 Ste 280, Flagstaff, AZ 86004-6259 Ph: (928) 522-8375 | Thomas De Moulin, PT 7810 N Us Highway 89 Ste 280, Flagstaff, AZ 86004-6259 Ph: (928) 522-8375 |
Tarang Kumar Jain, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 208 Pine Knoll Dr Bldg 66, Flagstaff, AZ 86011 Phone: 928-523-7305 | |
Michelle Rumpel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1840 N Jasper Dr Ste 3, Flagstaff, AZ 86001 Phone: 866-974-2673 Fax: 866-939-2673 | |
Nicholas Woods, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1485 N Turquoise Dr Ste 220, Flagstaff, AZ 86001 Phone: 928-774-6626 | |
Ashley Lauren Ziegler, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 Phone: 928-440-2350 | |
Dr. Jason Christopher Dorsch, P.T., A.T.C. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1510 S Riordan Ranch St, Flagstaff, AZ 86001 Phone: 928-214-7303 Fax: 928-214-0696 | |
Daniel Paredes Ozuna, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 399 S Malpais Ln Ste 103, Flagstaff, AZ 86001 Phone: 928-235-5506 |