Jacqueline Polanco, OT
Occupational Therapist in Bronx, NY. Individual provider (NPI-1).
NPI number1477830438
StatusActive
Last updated in NPPESNov 4, 2011
Details
- NPI
- 1477830438
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jacqueline Polanco
- Credential
- OT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2011
- Last updated
- Nov 4, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 014618 | NY | Yes |
Practice location
619 Vincent AveBronx, NY 10465-1720
Phone 134-744-9036
Mailing address
619 Vincent AveBronx, NY 10465-1720
Phone 347-449-0360
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