Organization
POLK THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON TRUDEAU (ADMINISTRATOR)
(863) 291-8644
Entity
Organization
Contact information
Practice address
295 1ST ST S, SUITE 2, WINTER HAVEN, FL 33880-3272
(863) 291-8644
(863) 293-3221
Mailing address
295 1ST ST S, SUITE 2, WINTER HAVEN, FL 33880-3272
(863) 291-8644
(863) 293-3221
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
68-4852
FL
Other
Enumeration date
07/25/2006
Last updated
04/27/2023
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