| Doctor Name: | MR. THOMAS DAVID MOLINE |
| NPI Number: | 1407928344 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, MS, |
| License Number: | PT00007650 |
| Business Practice Address: | 1627 Woods Ct Hood River, OR - 970312915 |
| Business Phone Number: | 5413869511 |
| Business Fax Number: | 8668608070 |
| Mailing Address: | Po Box 3158, PORTLAND |
| State: | OR |
| Postal Code: | 972083158 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 03/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00007650 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |