| NPI | 1891965257 |
|---|---|
| Doing Business As | PONCHAK PHYSICAL THERAPY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | RONALD EDWARD PONCHAK Director / President 203-722-6266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 5065) |
| Enumeration Date | 2008-03-01 |
| Last Update Date | 2009-03-09 |