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Individual

ALVIN A PONCE DE LEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
175 TONEY PENNA DR, SUITE 206A, JUPITER, FL 33458-5755
(561) 746-8148
Mailing address
175 TONEY PENNA DR, SUITE 206A, JUPITER, FL 33458-5755
(561) 281-6537

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
03/13/2008
Last updated
10/26/2009
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