Individual
REBEKAH POLOFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 TECHNOLOGY LANE, JOHNSON CITY, TN 37604
(423) 434-2000
Mailing address
105 TAMASSEE DR, JOHNSON CITY, TN 37601-1225
(423) 283-0705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3418
TN
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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