Individual
WENDY SUSAN POLOCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1503 8TH AVE, BEAVER FALLS, PA 15010-4175
(724) 843-7470
Mailing address
106 S OLIVER AVE, ZELIENOPLE, PA 16063-1340
(724) 453-9449
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002245A
PA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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