Individual
MRS. JANELLE R PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
Mailing address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0843
WY
225200000X
Physical Therapy Assistant
5502000521
MI
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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