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Individual
MARIANNE POLYAKOV
Active
Individual
MARIANNE POLYAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC010962
PA
225XG0600X
Gerontology Occupational Therapist
OC010962
PA
225XH1200X
Hand Occupational Therapist
OC010962
PA
225XN1300X
Neurorehabilitation Occupational Therapist
OC010962
PA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OC010962
PA
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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