Shanni Ponce, P.T.

NPI #1225363484 in Georgetown, Texas

Provider Information

NPI Number: 1225363484
Entity Type: Individual
Name: Shanni Ponce, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: P.T.
Enumeration Date: Oct 6, 2009
Last Updated: Oct 6, 2009

Practice Location

Address: 501 S AUSTIN AVE UNIT 1310
City: Georgetown
State: Texas
ZIP Code: 78626-5639
Phone: (512) 864-6050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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