Individual
RACHEL PONTIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 738-2254
Mailing address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 738-2254
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4952-26
WI
Other
Enumeration date
01/12/2011
Last updated
03/14/2014
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