Provider Demographics
NPI:1821571290
Name:PONDS, BILLIE JO (OT)
Entity Type:Individual
Prefix:
First Name:BILLIE
Middle Name:JO
Last Name:PONDS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 TRIPPODO ST
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-3736
Mailing Address - Country:US
Mailing Address - Phone:713-542-3954
Mailing Address - Fax:
Practice Address - Street 1:9220 KIRBY DR STE 1000
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2534
Practice Address - Country:US
Practice Address - Phone:713-383-9700
Practice Address - Fax:713-702-6055
Is Sole Proprietor?:No
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104571225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist