Individual
NATHALIE POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 OLIVE ST, NAUGATUCK, CT 06770-4545
(203) 706-6716
Mailing address
55 OLIVE ST, NAUGATUCK, CT 06770-4545
(203) 706-6716
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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