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Kevin Pontonuwu, PT

Physical Therapist in Desert Hot Springs, CA. Individual provider (NPI-1).

NPI number1750171641
StatusActive
Last updated in NPPESMay 12, 2025

Details

NPI
1750171641
Entity type
Individual (NPI-1)
Name
Kevin Pontonuwu
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
May 12, 2025
Certification date
May 12, 2025
Last updated
May 12, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist308035CAYes

Practice location

13313 Palm Dr Ste B
Desert Hot Springs, CA 92240-5980

Phone 760-671-4760 · Fax 760-671-4798

Mailing address

1650 Lyndon Farm Ct Ste 300
Louisville, KY 40223-5005

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Other Physical Therapist providers in Desert Hot Springs, CA

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