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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JACOB RANDALL PONDER, LOTR

Active

MR. JACOB RANDALL PONDER, LOTR is a Occupational Therapist healthcare provider located in WEST MONROE, Louisiana. NPI 1912917741 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · WEST MONROE, LA

Registration Details

NPI Number
1912917741
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2006 (19.976246120325 yrs)
Last Updated
Jul 8, 2007
License
OTT.Z12342 (LA)

Practice Information

Address
307 REGISTER ST
WEST MONROE, LA, 712912737
Browse LA providers · Browse ZIP 71291
Phone
3183298998
Fax
3183298997
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in WEST MONROE, LA

Name Credential NPI
TROY CHANNING SHOWS O.T. 1376591750
MR. TRACY CALHOUN BROOKS LOTR 1154334902
MRS. ANITA A TUBRE LOTR 1982719373
MRS. EMILY NORTH MIKE LOTR 1548333412
SHANNON RENE PAINE LOTR 1407914278
MICHELLE L BOLTON LEMOINE LOTR 1063671675
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.