Individual
JESSICA MARIE POLONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3100 NORIEGA ST, SAN FRANCISCO, CA 94122-4046
(703) 801-5672
Mailing address
3815 SUSAN DR APT G1, SAN BRUNO, CA 94066-6131
(650) 303-3601
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5942
CA
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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