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PONCIANO PORMENTIRA, DPT

DPT

Physical Therapist

NPI: 1548510357Individual

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

070.015245(IL)

Contact & Hours

Address
929 STACY BURK DRIVE
FLORA, IL 62839

Quick Facts

NPI
1548510357
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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