Individual
MS. CARRIE SIMONE POLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
10 SEVERANCE CIR, PHYSICAL THERAPY, CLEVELAND HEIGHTS, OH 44118-1533
(216) 524-7377
Mailing address
1107 NORTHRIDGE OVAL, BROOKLYN, OH 44144-3262
(937) 469-5054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012424
OH
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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