Individual
MEAGAN PONCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1510 S CONWELL AVE, WILLARD, OH 44890-9448
(419) 964-5700
Mailing address
72 NEW ST, GREENWICH, OH 44837-1056
(419) 545-5022
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006539
OH
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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