| Kevin Pontonuwu, PT | |
|
13313 Palm Dr Ste B, Desert Hot Springs, CA 92240-5980 | |
| (760) 671-4760 | |
| (760) 671-4798 |
| Full Name | Kevin Pontonuwu |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 13313 Palm Dr Ste B, Desert Hot Springs, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750171641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 308035 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Pontonuwu, PT 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: () - | Kevin Pontonuwu, PT 13313 Palm Dr Ste B, Desert Hot Springs, CA 92240-5980 Ph: (760) 671-4760 |
Raemar V Coloma, Physical Therapist Medicare: Medicare Enrolled Practice Location: 13313 Palm Dr Ste B, Desert Hot Springs, CA 92240 Phone: 760-671-4760 | |
Ennis Khaleq, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 64870 La Costa Ct, Desert Hot Springs, CA 92240 Phone: 714-605-3698 Fax: 866-225-9947 | |
Michael Allan Salvanera, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13313 Palm Dr Ste B, Desert Hot Springs, CA 92240 Phone: 760-671-4760 Fax: 760-671-4798 | |
David Frank Salas Jr., PT DPT CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13313 Palm Dr Ste B, Desert Hot Springs, CA 92240 Phone: 760-671-4760 Fax: 760-671-4798 | |
Brian Andrew Roath, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13313 Palm Dr Ste B, Desert Hot Springs, CA 92240 Phone: 760-671-4760 Fax: 760-671-4798 |