Individual
DANIELLE POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1120 SAINT PAUL ST, BALTIMORE, MD 21202-2618
(410) 685-7790
Mailing address
127 S SMALLWOOD ST, CUMBERLAND, MD 21502-2908
(301) 777-0650
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2715
MD
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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