Individual
MARTYNA PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1076 RIBAUT RD STE 102, BEAUFORT, SC 29902-5490
(844) 472-0967
Mailing address
80 S MAPLE AVE, SPRINGFIELD, NJ 07081-1906
(973) 376-4182
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12614
SC
225100000X
Physical Therapist
296510
CA
225100000X
Physical Therapist
CP032508T
SC
225100000X
Physical Therapist
Primary
PT38839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051843
NEW YORK STATE EDUCATION DEPARTMENT
NY
01
—
12614
BOARD OF PHYSICAL THERAPY
SC
01
—
296510
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
01
—
40QA01994000
NEW JERSEY DIVISION OF CONSUMER AFFAIRS
NJ
01
—
CP032508T
PT LICENSE
SC
01
—
PT38839
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
10/02/2019
Last updated
12/08/2025
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