Individual
JENNIFER POLKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1161 JANE ST, VANDERGRIFT, PA 15690-6106
(412) 498-5163
Mailing address
1161 JANE ST, VANDERGRIFT, PA 15690-6106
(412) 498-5163
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
010165
PA
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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