MR. John G Ponder

NPI #1962790089 in Edgewater, Florida

Provider Information

NPI Number: 1962790089
Entity Type: Individual
Name: MR. John G Ponder
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jul 11, 2011
Last Updated: Jul 11, 2011

Practice Location

Address: 2941 LIME TREE DR
City: Edgewater
State: Florida
ZIP Code: 32141-5724
Phone: (386) 690-0919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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