Individual
NICOLE PONKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
138 W HIGHLAND RD STE 500, HOWELL, MI 48843-2168
(517) 376-4831
Mailing address
PO BOX 412031, BOSTON, MA 02241-2031
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201014163
MI
Other
Enumeration date
05/14/2025
Last updated
12/11/2025
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