Michelle Renee Ponselle-Mays, MS, OTR/L

NPI #1730348020 in Fox Lake, Illinois

Provider Information

NPI Number: 1730348020
Entity Type: Individual
Name: Michelle Renee Ponselle-Mays, MS, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MS, OTR/L
Enumeration Date: Jun 3, 2008
Last Updated: Jun 16, 2008

Practice Location

Address: 498 S ROUTE 12
Address 2: SUITE C
City: Fox Lake
State: Illinois
ZIP Code: 60020-1908
Phone: (847) 587-3301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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