Individual
MR. BRIAN JACOB POLOFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2012 SHERWOOD DRIVE, JOHNSON CITY, TN 37601
(423) 767-6655
Mailing address
105 TAMASSEE DR, JOHNSON CITY, TN 37601-1225
(423) 283-0705
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4542
TN
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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