Individual
DANIEL PONTON IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
1017 RIVER HAVEN CIR APT I, CHARLESTON, SC 29412-4126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6561
SC
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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