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Individual

MRS. STEPHANIE PONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2764 PLEASANT RD STE A, FORT MILL, SC 29708-7214
(704) 840-2509
Mailing address
5704 RILEYS RIDGE RD, CHARLOTTE, NC 28226-4353
(413) 426-4044

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
17660
NC
224Z00000X
Occupational Therapy Assistant
Primary
5790
SC

Other

Enumeration date
06/19/2025
Last updated
06/19/2025
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