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Andrew Ponce
NPI 1386557254 · on the registry since 2026
Practice
- Address
- 429 W Main St Ste B
Lexington, IL 61753 - Phone
- (309) 365-2500
- Fax
- (309) 839-4464
- Organisation at this address
- Ultra Physical Therapy Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois