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 Therapy |
Experience | 26 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 | Innovation Therapy And Wellness, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1770003840 PECOS PAC ID: 1153694781 Enrollment ID: O20170901003168 |
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: Accepting Medicare Assignments 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 | |
Optim Therapy - Vidalia Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3301 E 1st St, Suite B, Vidalia, GA 30474 Phone: 912-537-0888 Fax: 912-537-8820 | |
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 |