Individual
DR. ELLEN JOY PONG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DPT, MOTR/L, CCE
Contact information
Practice address
5147 GARDENBROOK BLVD, MILTON, FL 32570-2331
(850) 983-6147
(850) 983-8973
Mailing address
5147 GARDENBROOK BLVD, MILTON, FL 32570-2331
(850) 983-6147
(850) 983-8973
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
20974
FL
225X00000X
Occupational Therapist
Primary
11232
FL
Other
Enumeration date
03/22/2006
Last updated
09/11/2025
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