Catie Fern Pontel, PTA

NPI #1396010468 in Walworth, Wisconsin

Provider Information

NPI Number
1396010468
Entity Type
Individual
Name
Catie Fern Pontel, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Health Maintenance Organization
Credential
PTA
Enumeration Date
Mar 21, 2012
Last Updated
Aug 27, 2012

Practice Location

Address
270 RIDGE RD
ZIP Code
53184-9526
Phone
(262) 275-2317

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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