Individual
MR. AURELIO POLANCO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
6001 E WOODMEN RD, COLORADO SPRINGS, CO 80923-2601
(719) 776-5000
Mailing address
401 QUAIL RIDGE CIR, HIGHLANDS RANCH, CO 80126-2245
(210) 332-0796
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0005975
CO
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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