Individual
ANN MARIE PONDROM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
608 OLD ROUTE 66, ST ROBERT, MO 65584-3730
(573) 336-8991
(573) 336-8993
Mailing address
14310 HOWARD LN, DIXON, MO 65459-7329
(573) 336-3490
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
110413
MO
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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