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Gerald Terrell Ponder JR., D
Rehabilitation Practitioner in Upland, California
NPI 1306143573

Gerald Terrell Ponder JR. is a Rehabilitation Practitioner based in Upland, CA. Gerald Terrell Ponder JR. practices in Upland, CA and has the professional credentials of D. The NPI Number for Gerald Terrell Ponder JR. is 1306143573 and holds a License No. D9514099 (California).

The current practice location address for Gerald Terrell Ponder JR. is 151 Armstrong Way, Upland, CA and can be reached out via phone at 909-354-6110.

Location: 151 Armstrong Way, Upland, CA, 91786-6335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306143573
Provider Name
Gerald Terrell Ponder JR.
Credential
D
Provider Entity Type
Individual
Gender
Male
Address
151 Armstrong Way, Upland, CA, 91786-6335
Phone Number
909-354-6110
Fax Number
Provider Enumeration Date
02/23/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
151 Armstrong Way
City
Upland
State
California
Zip
91786-6335
Phone Number
909-354-6110
Fax Number
person
Provider Business Mailing Address Details
Address
151 Armstrong Way
City
Upland
State
California
Zip
91786-6335
Phone Number
909-354-6110
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
D9514099 (California)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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