# MARIANNE POLYAKOV

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1649812686
- **Gender:** F
- **Credential:** OTR/L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | OC010962 | PA | Yes |

## Other

- **Enumeration date:** 10/10/2019
- **Last updated:** 10/10/2019