Individual
ALYSSA MARIE PONTIOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15107 VANOWEN ST, VAN NUYS, CA 91405-4542
(818) 782-6600
Mailing address
655 S WILLOW ST, MANCHESTER, NH 03103-5714
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
028874
NY
225X00000X
Occupational Therapist
7181
SC
225X00000X
Occupational Therapist
OC018628
PA
225X00000X
Occupational Therapist
OT23580
HI
225X00000X
Occupational Therapist
Primary
OT24645
CA
225X00000X
Occupational Therapist
OT25290
FL
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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