Individual
MS. MICHELLE T PONZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8729 DRUMLIN HEIGHTS DR, BALDWINSVILLE, NY 13027-1462
(315) 382-8899
Mailing address
8729 DRUMLIN HEIGHTS DRIVE, BALDWINSVILLE, NY 13027
(315) 382-8899
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005736-1
NY
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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