Individual
LAURIE PONTONERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
543 MAPLE AVE, REIDSVILLE, NC 27320-4627
(336) 342-1382
Mailing address
1404 ADAMS FARM PKWY APT N, GREENSBORO, NC 27407-5125
(315) 368-7963
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5633
NC
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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