Individual
DENISE RAE PONTIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
6976 WYNDHAM WAY, WOODBURY, MN 55125-2761
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4555
MN
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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