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Individual

TRACEY POLK

Active
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Individual

TRACEY POLK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
25698
MD
2251G0304X
Geriatric Physical Therapist
6033
NC

Other

Enumeration date
04/25/2008
Last updated
01/30/2025
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