| Ms Judith Dequera Hardman, PT | |
|
401 E 1st St Ste B, Vidalia, GA 30474-4624 | |
| (912) 403-3300 | |
| (912) 209-0166 |
| Full Name | Ms Judith Dequera Hardman |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 28 Years |
| Location | 401 E 1st St Ste B, Vidalia, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396919155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT006119 (Georgia) | Primary |
| 225100000X | Physical Therapist | 006119 (Georgia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Restore Physical Therapy Llc | 7810247848 | 6 |
| Provider Name | Restore Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1306331756 PECOS PAC ID: 7810247848 Enrollment ID: O20180912001130 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Judith Dequera Hardman, PT 331 James St, Vidalia, GA 30474-5651 Ph: (912) 293-7252 | Ms Judith Dequera Hardman, PT 401 E 1st St Ste B, Vidalia, GA 30474-4624 Ph: (912) 403-3300 |
James Ethredge, Physical Therapist Medicare: Medicare Enrolled Practice Location: 401 E 1st St Ste B, Vidalia, GA 30474 Phone: 912-403-3300 | |
Kimberly A Krupack, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Adams St Unit B, Vidalia, GA 30474 Phone: 478-254-0636 | |
Ms. Rhonda Beth Lowe, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Ne Main St, Vidalia, GA 30474 Phone: 912-375-3797 | |
Mrs. Cindy Blissett Beckham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Harris Industrial Blvd, Vidalia, GA 30474 Phone: 912-277-2044 Fax: 912-277-2099 | |
Mr. Shannon Brantley, P.T, A.T.C. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Harris Industrial Blvd, Vidalia, GA 30474 Phone: 912-277-2044 | |
Dr. Nancy W Stanley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 924 Coogan Williams Rd, Vidalia, GA 30474 Phone: 912-537-0818 |