Individual
SOFIA POLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 OAKWOOD BLVD, STE 130, HOLLYWOOD, FL 33020-1956
(954) 925-3844
(954) 925-3845
Mailing address
1 OAKWOOD BLVD, STE 130, HOLLYWOOD, FL 33020-1956
(954) 925-3844
(954) 925-3845
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT11940
FL
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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