Individual
MARISUNTA PONTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 WALNUT ST FL 2, PHILADELPHIA, PA 19103-5457
(215) 545-8717
(215) 545-9355
Mailing address
475 ALLENDALE RD STE 206, KING OF PRUSSIA, PA 19406-1495
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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