Carol Ponciroli
Occupational Therapist - Neurorehabilitation
4637 Pershing Pl
Saint Louis
, Missouri 63108-1907
Carol Ponciroli
Occupational Therapist - Neurorehabilitation
4637 Pershing Pl
Saint Louis
, Missouri 63108-1907
(314) 361-6965
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About
Features
Specialties
- Occupational Therapist - Neurorehabilitation
Languages spoken
- English
Location
First Address
- Carol Ponciroli
- 4637 Pershing Pl
- Saint Louis, MO
- Zip : 63108-1907
- Phone : (314) 361-6965
Second Address
- Carol Ponciroli
- 4637 Pershing Pl
- Saint Louis, MO
- Zip : 63108-1907
- Phone : (314) 361-6965
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 000498 | MO |
National Provider Identifier
| NPI | 1205360187 |
|---|---|
| Provider Name | Carol Ponciroli |
| First Address | Saint Louis, MO 63108-1907 |
| Second Address | Saint Louis, MO 63108-1907 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2017 |
| Last Update Date | 17/04/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.