Individual
MARY PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4825 MONTGOMERY HWY, DOTHAN, AL 36303-1690
(334) 500-1139
Mailing address
9165 WHITE POPLAR CIR, PIKE ROAD, AL 36064-2537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH8693
AL
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/31/2018
Last updated
12/07/2020
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