Holland A Ponthieux, DPT | |
2930 Ridge Rd Ste 120, Rockwall, TX 75032-0300 | |
(469) 887-1070 | |
Not Available |
Full Name | Holland A Ponthieux |
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Gender | Female |
Speciality | Physical Therapist |
Location | 2930 Ridge Rd Ste 120, Rockwall, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275367740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1393475 (Texas) | Primary |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20190128000322 |
Mailing Address | Practice Location Address |
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Holland A Ponthieux, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (803) 812-3656 | Holland A Ponthieux, DPT 2930 Ridge Rd Ste 120, Rockwall, TX 75032-0300 Ph: (469) 887-1070 |
Emily Bleyer, Physical Therapist Medicare: Medicare Enrolled Practice Location: 225 E Ralph Hall Pkwy, Rockwall, TX 75032 Phone: 877-407-3422 Fax: 877-407-4329 | |
Ryan Allen Baumgartner, PT, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 2268 N Lake Shore Dr Ste 106, Rockwall, TX 75087 Phone: 972-979-6577 Fax: 972-979-6951 | |
Tara Meetra Khalili, Physical Therapist Medicare: Medicare Enrolled Practice Location: 225 E Ralph Hall Pkwy, Rockwall, TX 75032 Phone: 877-407-3422 Fax: 877-407-4329 | |
Kimberly Kathleen Hackbart, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2504 Ridge Rd, Suite 205, Rockwall, TX 75087 Phone: 972-768-9230 Fax: 972-722-4087 | |
Mariah Bertrand, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2268 N Lake Shore Dr Ste 106, Rockwall, TX 75087 Phone: 972-979-6577 | |
Wendy Mary Davidson, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 930 W Ralph Hall Parkway Suite 120, Rockwall, TX 75032 Phone: 972-771-0999 Fax: 972-771-2281 |