MR. Edward Lee Ponce, PT
NPI #1528176138 in Bloomington, Illinois
Provider Information
- NPI Number
- 1528176138
- Entity Type
- Individual
- Name
- MR. Edward Lee Ponce, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Medicine & Rehabilitation
- Credential
- PT
- Enumeration Date
- Aug 25, 2006
- Last Updated
- Jan 4, 2018
Practice Location
- Address
- 1111 TRINITY LN STE 111
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-8112
- Phone
- (309) 663-6461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Orthopedic — Orthopedic |
| Physical Medicine & Rehabilitation |
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