Mr. Jacob Randall Ponder, LOTR
Mr. Jacob Randall Ponder, LOTR is an Occupational Therapist in West Monroe, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.
- Licensed in
- LA
- In the registry since
- 2006
Practice location Address checks out
307 Register StWest Monroe, LA 71291-2737
Phone: (318) 329-8998
Fax: (318) 329-8997
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence OTT.Z12342 (LA) |
|---|
Record details
| NPI number | 1912917741 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LOTR |
| Sole proprietor | No |
| NPI enumerated | August 8, 2006 |
| Last updated in NPPES | July 8, 2007 |
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