Individual
MATTHEW POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1431 CEDAR LN, WOOSTER, OH 44691-2529
(330) 988-0156
Mailing address
1431 CEDAR LN, WOOSTER, OH 44691-2529
(330) 988-0156
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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