Individual
KELLIE C. PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 N GROVE ST, MERRITT ISLAND, FL 32953-3444
(814) 227-3590
Mailing address
220 N GROVE ST, MERRITT ISLAND, FL 32953-3444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16047
FL
Other
Enumeration date
10/26/2012
Last updated
06/08/2025
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