Carissa Poncelet
NPI #1245501295 in Dell Rapids, South Dakota
Provider Information
- NPI Number
- 1245501295
- Entity Type
- Individual
- Name
- Carissa Poncelet
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Jan 23, 2012
- Last Updated
- Jan 23, 2012
Practice Location
- Address
- 706 EAGLE RUN
- City
- Dell Rapids
- State
- South Dakota
- ZIP Code
- 57022-2142
- Phone
- (605) 428-5851
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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