| Mrs Laurie Jackson Hudson, PT | |
|
900 Manchester Road, Fairview, PA 16415 | |
| (814) 838-4822 | |
| (814) 833-8356 |
| Full Name | Mrs Laurie Jackson Hudson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 900 Manchester Road, Fairview, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578938403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT007115L (Pennsylvania) | Primary |
| Provider Name | Shriners Hospitals For Children |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982971503 PECOS PAC ID: 9133031933 Enrollment ID: O20121012000051 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Laurie Jackson Hudson, PT 1100 Shawnee Road, Lima, OH 45805 Ph: (419) 999-2030 | Mrs Laurie Jackson Hudson, PT 900 Manchester Road, Fairview, PA 16415 Ph: (814) 838-4822 |
Mrs. Janet Sue Noland, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7230 W Ridge Rd, Fairview, PA 16415 Phone: 814-875-1400 | |
Mr. Keith Martin Liccardi, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 890 Greener Pl, Fairview, PA 16415 Phone: 814-474-5521 | |
Jordan Sanfrotello, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1659 Mulberry Ln, Fairview, PA 16415 Phone: 814-240-8819 | |
Steven Bauer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Manchester Rd, Fairview, PA 16415 Phone: 814-838-4822 Fax: 814-833-8536 | |
Dr. Steven Michael Schleicher, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7420 Bear Creek Rd, Fairview, PA 16415 Phone: 814-449-4918 | |
Breakwall Wound Care And Rehab Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7420 Bear Creek Rd, Fairview, PA 16415 Phone: 814-449-4918 |