Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PONCIANO PORMENTIRA JR., DPT
ActivePONCIANO PORMENTIRA JR., DPT is a Physical Therapy Assistant healthcare provider located in FLORA, Illinois. NPI 1548510357 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FLORA, IL
Registration Details
- NPI Number
- 1548510357
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2012 (13.881624961434 yrs)
- Last Updated
- Sep 19, 2012
- License
-
070.015245 (IL)
Practice Information
- Address
-
929 STACY BURK DRIVEFLORA, IL, 62839Browse IL providers · Browse ZIP 62839
- Phone
- 6186628060
- Fax
- 6186628080
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FLORA, IL
| Name | Credential | NPI |
|---|---|---|
| JESSICA LEWIS | MPT | 1063775443 |
| CODY BURNETT | DPT | 1780086801 |
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.