Individual
CARINA POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2233 N COMMERCE PKWY STE 1, WESTON, FL 33326-3252
(954) 356-2878
Mailing address
1029 DAISY LN, WESTON, FL 33327-2443
(954) 560-8507
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 27126
FL
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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