Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD LEE PONCE, PT
ActiveMR. EDWARD LEE PONCE, PT is a Physical Medicine & Rehabilitation healthcare provider located in BLOOMINGTON, Illinois. NPI 1528176138 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1528176138
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2006 (20.016055261635 yrs)
- Last Updated
- Jan 4, 2018
- Licenses
-
070010014 (IL)070-010014 (IL)
Practice Information
- Address
-
1111 TRINITY LN STE 111BLOOMINGTON, IL, 617048112Browse IL providers · Browse ZIP 61704
- Phone
- 3096636461
- Fax
- 3096635711
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Physical Medicine & Rehabilitation
Other Physical Medicine & Rehabilitation Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. NENITA C TUDTUD | M.D. | 1639105034 |
| WON JHEE | — | 1861411027 |
| DR. CRAIG W CARMICHAEL | M.D. | 1497761100 |
| MRS. SARA ALINE FRANCOIS | PT | 1174015010 |
| JENNIFER MARIE HAIR | PTA | 1881277358 |
| MADISON MITCHELL | PTA | 1922813609 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.