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Individual
WHITNEY POLK
Active
Individual
WHITNEY POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2083491TX
TX
Other
Enumeration date
08/09/2011
Last updated
09/11/2014
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