Individual
NANCY PONZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9631 MONTE VISTA AVE, MONTCLAIR, CA 91763-2233
(909) 802-5824
Mailing address
17333 VALLEY BLVD SPC 70E, FONTANA, CA 92335-6875
(909) 997-2012
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
401231
CA
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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