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1104926138
SUSAN PONCE
HOUSTON, TX
NPI
1104926138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 107140)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
-- SUSAN PONCE OTR
2002 HOLCOMBE BLVD
HOUSTON, TX 77030-4211
Phone number: 713-794-7791
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Mailing Address
-- SUSAN PONCE OTR
3415 VALLEY HAVEN DR
KINGWOOD, TX 77339-5519
Phone number: 281-548-3263
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