Blake Ponist, OT Valid NPI

Individual provider · Occupational Therapist · O Fallon, MO

NPI

1932675766

Type

Individual (Type 1)

Primary specialty

Occupational Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225X00000X

License number

2024012844 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2018-10-19

Last updated

2024-10-21