Individual
BRIANNE POLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
205 ROBIN RD, SUITE 118, PARAMUS, NJ 07652-1449
(201) 225-1511
Mailing address
24 ELMHURST ST, ELMWOOD PARK, NJ 07407-1319
(732) 236-2722
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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