MARIO C PONCE

ROCHESTER, IN
NPI1760199491
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05004455A)
Enumeration Date2022-11-02
Last Update Date2022-11-02
Business Address
MARIO C PONCE PT
1729 WABASH AVE
ROCHESTER, IN 46975-2455
Phone number: 574-475-8518
Mailing Address
MARIO C PONCE PT
1313 ROCHESTER BLVD
ROCHESTER, IN 46975
Phone number: 574-201-9975
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