LOVELY ROSE PONCE PATARATA

DEMOPOLIS, AL
NPI1104596832
Former NameLOVELY ROSE GOMEZ PONCE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AL  PTH10423)
Enumeration Date2021-09-14
Last Update Date2021-09-14
Business Address
LOVELY ROSE PONCE PATARATA PHYSICAL THERAPIST
210 S STRAWBERRY AVE
DEMOPOLIS, AL 36732-2154
Phone number: 334-431-4332
Mailing Address
LOVELY ROSE PONCE PATARATA PHYSICAL THERAPIST
210 S STRAWBERRY AVE
DEMOPOLIS, AL 36732-2154
Phone number: 334-431-4332
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