Individual
MS. JULIE GENEVA POLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1476 IRONWOOD DR, FAIRBORN, OH 45324-3506
(330) 307-8509
Mailing address
1476 IRONWOOD DR, FAIRBORN, OH 45324-3506
(330) 307-8509
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5704
OH
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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