Most Relevant Information
Provider Data
| NPI Number: | 1003296971 |
| Provider Name: | LABREESKA PONDER LPTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA1659 |
Most Important Dates
| Enumeration Date: | 06/04/2015 |
| Last Updated: | 06/04/2015 |
Provider Practice Location
1007 GOODYEAR AVE
GADSDEN
AL
359031195
Practice Location Phone/Fax
| Phone: | 2564136060 |
| Fax: | 2564136066 |
Provider Mailing Location
1007 GOODYEAR AVE
GADSDEN
AL
35903
Provider Mailing Phone/Fax
| Phone: | 2564136060 |
| Fax: | 2564136066 |