Individual
MR. DAVID GEORGE PONESSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8202 MARSHALL ST, MERRILLVILLE, IN 46410
(845) 216-2352
Mailing address
8202 MARSHALL ST, MERRILLVILLE, IN 46410
(845) 216-2352
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005216A
IN
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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