Individual
KRISTINA POLACHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 NORTH ST, BELLEVUE, OH 44811-1423
(419) 484-5004
Mailing address
125 NORTH ST, BELLEVUE, OH 44811-1423
(419) 484-5004
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
OH1459445
OH
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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