Individual
MRS. MARIA POLONIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
37 CENTRAL AVE, WELLSBORO, PA 16901-1857
(800) 488-4268
Mailing address
86 PEARL ST, WELLSBORO, PA 16901-1334
(570) 439-1913
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP010274
PA
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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