NICOLE SUSAN PONDA

WEST ALLIS, WI
NPI1619134426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  10239-024)
Enumeration Date2008-05-20
Last Update Date2008-05-20
Business Address
Mrs. NICOLE SUSAN PONDA DPT
1126 S 70TH ST SUITE S305B
WEST ALLIS, WI 53214-3151
Phone number: 414-456-2334
Mailing Address
Mrs. NICOLE SUSAN PONDA DPT
1126 S 70TH ST SUITE S305B
WEST ALLIS, WI 53214-3151
Phone number: 414-456-2334