Individual
CRISTIAN PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
10790 TOEPPERWEIN RD, CONVERSE, TX 78109-2569
(253) 226-4707
Mailing address
1208 SPAULDING ST, SAN ANGELO, TX 76903-5031
(325) 249-5027
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2187614
TX
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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