Individual
MARY FRANCES PONTORNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/R
Contact information
Practice address
23160 MOAKLEY ST, LEONARDTOWN, MD 20650-2922
(301) 475-5511
Mailing address
24893 HALF PONE POINT RD, HOLLYWOOD, MD 20636-2975
(301) 373-3390
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02577
MD
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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