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Ponciano Pormentira, DPT
NPI 1548510357 · on the registry since 2012
Practice
- Address
- 929 Stacy Burk Drive
Flora, IL 62839 - Phone
- (618) 662-8060
- Fax
- (618) 662-8080
- Organisation at this address
- County Of Clay
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-19
- Status
- Not present in the most recent federal file
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