Individual
ANGELICA POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 DAISY LN, WESTON, FL 33327-2443
(954) 560-8507
Mailing address
1029 DAISY LN, WESTON, FL 33327-2443
(954) 560-8507
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15771
FL
Other
Enumeration date
04/23/2017
Last updated
04/23/2017
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