| Doctor Name: | MS. PATRICIA L PONCE |
| NPI Number: | 1184789133 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT,OSC,SCS,ATC,CSCS |
| License Number: | 21138 |
| Business Practice Address: | 2328 W Joppa Rd Suite 300 Lutherville, MD - 210934612 |
| Business Phone Number: | 4109388660 |
| Business Fax Number: | 4109388664 |
| Mailing Address: | 6905 Yale Rd, MIDDLE RIVER |
| State: | MD |
| Postal Code: | 212201050 |
| Phone Number: | 4103359883 |
| Fax Number: | 4109388664 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 21138 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |