Individual
MISS BRIANNE ELIZABETH PONGRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
560 E 3RD ST, ERIE, PA 16507-1753
(814) 871-4531
Mailing address
7296 MCGILL RD, HARBORCREEK, PA 16421-1523
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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