Individual
ASHTON POLACHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
365 W 1550 N STE H, LAYTON, UT 84041-2279
(801) 618-7903
Mailing address
3293 N 1750 E, LAYTON, UT 84040-4938
(214) 300-9960
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
121714
TX
225X00000X
Occupational Therapist
Primary
12652430-4201
UT
Other
Enumeration date
04/07/2021
Last updated
04/01/2022
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