Individual
JUDITH POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 DORAL DR, ROCHESTER HILLS, MI 48309-1282
(248) 722-3867
(248) 289-1196
Mailing address
3200 DORAL DR, ROCHESTER HILLS, MI 48309-1282
(248) 722-3867
(248) 289-1196
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001925
MI
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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