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Individual
JONATHAN PONCE SUSAS
Active
Individual
JONATHAN PONCE SUSAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
22631
FL
225100000X
Physical Therapist
Primary
33498
CA
225100000X
Physical Therapist
9025
CO
Other
Enumeration date
11/02/2006
Last updated
01/26/2024
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