Provider Demographics
NPI:1316370570
Name:PONCE, ALISHA ANN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:ANN
Last Name:PONCE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1965 POST RD STE 102
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5187
Mailing Address - Country:US
Mailing Address - Phone:210-446-7424
Mailing Address - Fax:210-503-0468
Practice Address - Street 1:1965 POST RD STE 102
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-5187
Practice Address - Country:US
Practice Address - Phone:210-446-7424
Practice Address - Fax:210-503-0468
Is Sole Proprietor?:No
Enumeration Date:2013-08-12
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1233576225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist