Organization
SUNRISE PEDIATRIC THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA JOY POLUKA M.S. OTR/L (PRESIDENT)
(610) 217-1280
Entity
Organization
Contact information
Practice address
971K VILLAGE ROUND, WESCOSVILLE, PA 18106-9786
(610) 217-1280
Mailing address
971K VILLAGE ROUND, WESCOSVILLE, PA 18106-9786
(610) 217-1280
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
OC005091L
PA
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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