| Brian Jonathan Hudson, PT | |
|
46900 Monroe St Ste 304, Indio, CA 92201-4829 | |
| (760) 289-3010 | |
| (760) 863-1871 |
| Full Name | Brian Jonathan Hudson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 46900 Monroe St Ste 304, Indio, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548930258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 18254 (California) | Primary |
| Provider Name | United Therapy Network Incorporated |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1669691051 PECOS PAC ID: 9234022369 Enrollment ID: O20050615001046 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Jonathan Hudson, PT 1845 Business Center Dr Ste 127, San Bernardino, CA 92408-3434 Ph: (909) 890-9030 | Brian Jonathan Hudson, PT 46900 Monroe St Ste 304, Indio, CA 92201-4829 Ph: (760) 289-3010 |
Dr. Devlin Alexander Dizacomo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201 Phone: 760-347-6195 Fax: 760-347-2849 | |
Dr. Jonathan Michael Elbert, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 80629 Declaration Ave, Indio, CA 92201 Phone: 515-341-9738 | |
Jasmine Mireya Gongora, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201 Phone: 760-347-6195 Fax: 760-347-2849 | |
Leo J King, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 82013 Dr Carreon Blvd, Suite I, Indio, CA 92201 Phone: 760-347-6195 Fax: 760-347-2849 | |
Ian Halderman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201 Phone: 760-347-6195 Fax: 760-347-2849 | |
Sara M Schuldt, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 81557 Dr Carreon Blvd Ste C4, Indio, CA 92201 Phone: 760-347-6195 Fax: 760-347-2849 | |
Sharon B Dabareiner, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 81577 Dr. Carreon Blvd., Suite C8, Indio, CA 92201 Phone: 760-775-5511 |