Individual
FERNANDO PONAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2481 W SWALLOW ST, SPRINGFIELD, MO 65810-3622
(417) 619-5175
Mailing address
2481 W SWALLOW ST, SPRINGFIELD, MO 65810-3622
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
114383
MO
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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