Individual
DONNA GARDNER POLIDORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 VALENTINE RD, PITTSFIELD, MA 01201-3042
(413) 445-9768
Mailing address
84 KEARNEY AVE, PITTSFIELD, MA 01201-2310
(413) 443-8570
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8159
MA
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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