Individual
MRS. TARA POLONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3970 E RIGGS RD STE 1, CHANDLER, AZ 85249-5412
(480) 883-0202
Mailing address
3970 E RIGGS RD, STE 1, CHANDLER, AZ 85249-5412
(480) 883-0202
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4316
AZ
Other
Enumeration date
04/19/2010
Last updated
01/23/2020
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