Individual
MRS. STEPHANIE K PONTIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 PROVIDENT DR, WARSAW, IN 46580-3252
(574) 371-2500
Mailing address
1800 N WABASH RD STE 202, MARION, IN 46952-1300
(765) 651-3229
(765) 651-3227
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003160A
IN
Other
Enumeration date
03/03/2012
Last updated
03/03/2012
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