Individual
ADDISON PARKER PONTIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1951 W CAMELBACK RD, PHOENIX, AZ 85015-3403
(602) 601-2401
Mailing address
2121 W BUTLER DR, PHOENIX, AZ 85021-4292
(406) 740-1894
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
AZ
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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