Individual
MR. ANTHONY J. POLCYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
280 PATTONSVILLE RD, JACKSON, OH 45640-9452
(740) 441-1934
(740) 395-8855
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 441-1934
(740) 446-5982
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
052224
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217253
ANTHEM BCBS
—
05
—
0157755000
—
WV
01
—
1376551705
NPI
—
01
—
2221152
MOLINA MEDICAID
OH
01
—
650019666
RR MEDICARE
—
Enumeration date
08/03/2006
Last updated
02/25/2009
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