| Doctor Name: | CATIE FERN PONTEL |
| NPI Number: | 1396010468 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PTA |
| License Number: | 1652-019 |
| Business Practice Address: | 270 Ridge Rd Walworth, WI - 531849526 |
| Business Phone Number: | 2622752317 |
| Business Fax Number: | |
| Mailing Address: | W4929 Paddock Dr, ELKHORN |
| State: | WI |
| Postal Code: | 531213106 |
| Phone Number: | 4146879526 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2012 |
| NPI Last Update Date: | 08/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | 1652-019 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |