Individual
MS. SUSAN ALISE POLSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10708 NW 12TH MNR, PLANTATION, FL 33322-6995
(954) 473-2748
(954) 473-2748
Mailing address
10708 NW 12TH MNR, PLANTATION, FL 33322-6995
(954) 473-2748
(954) 473-2748
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
09/15/2021
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