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Individual
MRS. MAIGHDLIN A. PONDER
Active
Individual
MRS. MAIGHDLIN A. PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021585
OH
225100000X
Physical Therapist
8216
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510177
—
TN
01
—
4208823
BLUECROSS BLUESHEILD
TN
01
—
P00746747
RAILROAD MEDICARE
—
Enumeration date
10/28/2008
Last updated
04/12/2017
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