Individual
SARAI POLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 BARRACKS RD, CHARLOTTESVILLE, VA 22901-2271
(434) 963-4198
Mailing address
20261 SW 316TH ST, HOMESTEAD, FL 33030-5111
(305) 613-5367
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603439
VA
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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