| NPI | 1134568629 |
|---|---|
| Former Name | REBECCA IRENE POLANSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 311044) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 115666) |
| 225X00000X Occupational Therapist (Licence: MN 104482) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2024-01-22 |