Individual
MR. ANTHONY PONTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
18 MELANIE LN, WAYNE, NJ 07470-3520
(201) 787-6139
Mailing address
18 MELANIE LN, WAYNE, NJ 07470-3520
(201) 787-6139
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01031000
NJ
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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