Doctor Name: | ALVIN A PONCE DE LEON |
NPI Number: | 1679744064 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | |
Business Practice Address: | 175 Toney Penna Dr Suite 206a Jupiter, FL - 334585755 |
Business Phone Number: | 5617468148 |
Business Fax Number: | |
Mailing Address: | 175 Toney Penna Dr, Suite 206a JUPITER |
State: | FL |
Postal Code: | 334585755 |
Phone Number: | 5612816537 |
Fax Number: | |
NPI Enumeration Date: | 03/13/2008 |
NPI Last Update Date: | 10/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |