Individual
DONALD MARTIN PONZO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
653 MYRTLE DR, COVINGTON, LA 70433-8225
(985) 893-4700
(985) 893-3211
Mailing address
69461 TAVERNY CT, MADISONVILLE, LA 70447-3207
(504) 952-2969
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
09391
LA
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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