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Carina Polanco

Physical Therapy Assistant in Weston, FL. Individual provider (NPI-1).

NPI number1982155305
StatusActive
Last updated in NPPESOct 20, 2016

Details

NPI
1982155305
Entity type
Individual (NPI-1)
Name
Carina Polanco
Sex
Female
Sole proprietor
No
Enumeration date
Oct 20, 2016
Last updated
Oct 20, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA 27126FLYes

Practice location

2233 N Commerce Pkwy Ste 1
Weston, FL 33326-3252

Phone 954-356-2878

Mailing address

1029 Daisy Ln
Weston, FL 33327-2443

Phone 954-560-8507

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