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Individual
KIM A. POLASEK
Active
Individual
KIM A. POLASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1036226
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0876815-01
—
TX
Enumeration date
12/28/2005
Last updated
11/30/2011
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