GARY ALLAN PONCINIE

CHICAGO, IL
NPI1104167659
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056008401)
Enumeration Date2013-03-08
Last Update Date2013-03-08
Business Address
-- GARY ALLAN PONCINIE OTR
1901 W HARRISON ST
CHICAGO, IL 60612-3714
Phone number: 312-864-3651
Mailing Address
-- GARY ALLAN PONCINIE OTR
1901 W HARRISON ST
CHICAGO, IL 60612-3714
Phone number: 312-864-3651
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