Individual
MRS. MARY LOU POLCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1101 FOREST HARBOR DR, HENDERSONVILLE, TN 37075-9645
(615) 264-1342
(615) 431-0449
Mailing address
1101 FOREST HARBOR DR, HENDERSONVILLE, TN 37075-9645
(615) 264-1342
(615) 431-0449
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000001871
TN
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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