Individual
PAMELA ELISA PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2100 EXETER RD STE 210, GERMANTOWN, TN 38138-3966
(901) 701-5604
(901) 701-5819
Mailing address
626 SHOTWELL ST, MEMPHIS, TN 38111-7521
(901) 438-1666
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6987
TN
225XP0200X
Pediatric Occupational Therapist
3884
MS
Other
Enumeration date
07/19/2021
Last updated
06/15/2023
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