Individual
LAUREN ASHLEY POLIVKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
1111 14TH ST NW, WASHINGTON, DC 20005-5603
(815) 985-1069
Mailing address
1111 14TH ST NW, WASHINGTON, DC 20005-5603
(815) 985-1069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT870858
DC
Other
Enumeration date
02/26/2008
Last updated
07/20/2010
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