| Michelle Renee Ponselle-mays, MS, OTR/L | |
|
498 S Route 12, Suite C, Fox Lake, IL 60020-1908 | |
| (847) 587-3301 | |
| (847) 587-3346 |
| Full Name | Michelle Renee Ponselle-mays |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 498 S Route 12, Fox Lake, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730348020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056008351 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Renee Ponselle-mays, MS, OTR/L 498 S Route 12, Suite C, Fox Lake, IL 60020-1908 Ph: (847) 587-3301 | Michelle Renee Ponselle-mays, MS, OTR/L 498 S Route 12, Suite C, Fox Lake, IL 60020-1908 Ph: (847) 587-3301 |
Allison Marie Kriegler, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1294 S Route 12, Fox Lake, IL 60020 Phone: 847-973-9440 Fax: 847-973-9442 | |
Brian Creeron, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1294 S Route 12, Fox Lake, IL 60020 Phone: 847-973-9440 Fax: 847-973-9442 |