Individual
LOVELY ROSE PONCE PATARATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
210 S STRAWBERRY AVE, DEMOPOLIS, AL 36732-2154
(334) 431-4332
Mailing address
210 S STRAWBERRY AVE, DEMOPOLIS, AL 36732-2154
(334) 431-4332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH10423
AL
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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