| Aquatic Physical Therapy Of Palm Desert Inc | |
|
74824 Lennon Pl, Palm Desert, CA 92260-1901 | |
| (760) 568-9811 | |
| Not Available |
| Full Name | Aquatic Physical Therapy Of Palm Desert Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 74824 Lennon Pl, Palm Desert, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124279393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 7254 (California) | Primary |
| Provider Name | Dwight Jesse Cornish |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811997398 PECOS PAC ID: 2668439746 Enrollment ID: I20041210000561 |
| Mailing Address | Practice Location Address |
|---|---|
| Aquatic Physical Therapy Of Palm Desert Inc Po Box 13888, Palm Desert, CA 92255-3888 Ph: () - | Aquatic Physical Therapy Of Palm Desert Inc 74824 Lennon Pl, Palm Desert, CA 92260-1901 Ph: (760) 568-9811 |
California Rehabilitation & Sports Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 73345 Highway 111, Ste 103, Palm Desert, CA 92260 Phone: 760-340-1812 Fax: 760-340-1852 | |
Isabella Smith, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 72880 Fred Waring Dr, Palm Desert, CA 92260 Phone: 760-340-4036 Fax: 760-340-4036 | |
Alex Chujo, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 73221 Highway 111, Ste A, Palm Desert, CA 92260 Phone: 760-773-2179 Fax: 760-773-2810 | |
Daniel John Keenan, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 76931 Tricia Ln, Palm Desert, CA 92211 Phone: 760-799-6017 | |
Dr. Sharon Neta Anderson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 41505 Carlotta Dr, Palm Desert, CA 92211 Phone: 760-346-5420 | |
Kimberly Jean Burton, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 43875 Washington St Ste G, Palm Desert, CA 92211 Phone: 888-439-1295 Fax: 888-405-0638 | |
Mrs. Therese Tudor, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77-682 Country Club Drive, Suite G, Palm Desert, CA 92211 Phone: 760-345-2200 Fax: 760-345-2210 |