Individual
REBECCA PONICSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8795 RALSTON RD STE 246, ARVADA, CO 80002-2353
(303) 422-4504
Mailing address
8795 RALSTON RD STE 246, ARVADA, CO 80002-2353
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
CO
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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