Donald Martin Ponzo Jr., PT, DPT
Physical Therapist, Orthopedic in Covington, LA. Individual provider (NPI-1).
NPI number1740810100
StatusActive
Last updated in NPPESJan 23, 2020
Details
- NPI
- 1740810100
- Entity type
- Individual (NPI-1)
- Name
- Donald Martin Ponzo Jr.
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2020
- Certification date
- Jan 23, 2020
- Last updated
- Jan 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | 09391 | LA | Yes |
Practice location
653 Myrtle DrCovington, LA 70433-8225
Phone 985-893-4700 · Fax 985-893-3211
Mailing address
69461 Taverny CtMadisonville, LA 70447-3207
Phone 504-952-2969
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All 9 Orthopedic Physical Therapist providers in Covington · All 2,520 providers in Covington
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