Individual
KIMBERLY PONTARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1803 W WHITE OAK TER STE C, CONROE, TX 77304-3675
(936) 494-1211
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-6200
(630) 928-5040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
125391
TX
Other
Enumeration date
06/23/2016
Last updated
10/06/2025
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