SearchMissouri225X00000X

Blake Ponist, OT

NPI 1932675766 · on the registry since 2018

Practice

Address
801 Corporate Centre Dr
O Fallon, MO 63368
Phone
(636) 851-4000
Clinicians at this address
6

Registry record

Primary taxonomy
225X00000X
225X00000X
Also registered as
225X00000X
Licence states on file
IN, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-21

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 Missouri