Individual
HELAYNE CARIDAD PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3735 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 277-3977
Mailing address
2660 PARK WINDSOR DR, APT 303, FORT MYERS, FL 33901-8321
(786) 797-8452
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19317
FL
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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