Individual
TANNER POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
996 AIRPORT RD, DESTIN, FL 32541-2824
(850) 863-7651
Mailing address
996 AIRPORT RD, DESTIN, FL 32541-2824
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19506
FL
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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