Individual
MISS JENNIFER SUE POLIVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4747 ALBEN BARKLEY DR, PADUCAH, KY 42001-6789
(270) 201-2200
(270) 443-6211
Mailing address
1761 COUNTY ROAD 1314, BARDWELL, KY 42023-9050
(270) 628-3882
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002869
KY
Other
Enumeration date
06/28/2007
Last updated
08/06/2015
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