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1093830184
STEPHANIE A POLKA
PEORIA, IL
NPI
1093830184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-011664)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
STEPHANIE A POLKA PHYSICAL THERAPIST
507 E ARMSTRONG AVE
PEORIA, IL 61603-3201
Phone number: 306-686-1177
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Mailing Address
STEPHANIE A POLKA PHYSICAL THERAPIST
232 W. CLARA
PEORIA, IL 61614
Phone number: 309-693-9972
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