Keith Ponce, PT, DPT
NPI #1164131017 in West Covina, California
Provider Information
- NPI Number
- 1164131017
- Entity Type
- Individual
- Name
- Keith Ponce, PT, DPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT, DPT
- Enumeration Date
- Nov 18, 2022
- Last Updated
- Feb 16, 2023
Practice Location
- Address
- 1115 S SUNSET AVE
- City
- West Covina
- State
- California
- ZIP Code
- 91790-3940
- Phone
- (626) 962-4011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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