William David Moulder, P.T.
Physical Therapist in Mount Dora, FL. Individual provider (NPI-1).
NPI number1083929673
StatusActive
Last updated in NPPESSep 8, 2024
Details
- NPI
- 1083929673
- Entity type
- Individual (NPI-1)
- Name
- William David Moulder
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 8, 2010
- Certification date
- Sep 8, 2024
- Last updated
- Sep 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT016945 | FL | Yes |
Practice location
2012 N Donnelly StMount Dora, FL 32757-2824
Phone 352-729-3565 · Fax 352-729-3564
Mailing address
Po Box 1478Mount Dora, FL 32756-1478
Phone 352-729-3565 · Fax 352-729-3564
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All 14 Physical Therapist providers in Mount Dora · All 974 providers in Mount Dora
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