Lisette Molina Daum, PT | |
6601 Blue Oaks Blvd Apt 1508, Rocklin, CA 95765-6001 | |
(510) 565-9184 | |
Not Available |
Full Name | Lisette Molina Daum |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 6601 Blue Oaks Blvd Apt 1508, Rocklin, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487715017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT28316 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Lisette Molina Daum, PT 6601 Blue Oaks Blvd Apt 1508, Rocklin, CA 95765-6001 Ph: (510) 565-9184 | Lisette Molina Daum, PT 6601 Blue Oaks Blvd Apt 1508, Rocklin, CA 95765-6001 Ph: (510) 565-9184 |
Nathan Appleby, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6526 Lonetree Blvd Ste 200, Rocklin, CA 95765 Phone: 916-772-2909 | |
Eric Alan Jacques, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2217 Sunset Blvd Ste 711, Rocklin, CA 95765 Phone: 916-435-3500 | |
Matthew Milton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2217 Sunset Blvd, Ste 711, Rocklin, CA 95765 Phone: 916-435-3500 Fax: 916-435-3503 | |
Joshua Quan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5800 Lonetree Blvd Ste 101, Rocklin, CA 95765 Phone: 916-302-9601 | |
Taylah Nusser, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2217 Sunset Blvd Ste 711, Rocklin, CA 95765 Phone: 916-435-3500 | |
Sharon Villareal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1216 Starflower Ln, Rocklin, CA 95765 Phone: 980-251-5537 | |
Alabama Luna Care Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5800 Lonetree Blvd Ste 101, Rocklin, CA 95765 Phone: 877-839-6979 Fax: 833-817-7128 |