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1538305271
SARA TERESA POLANCO
FORT CAMPBELL, KY
NPI
1538305271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT004542)
Enumeration Date
2008-12-31
Last Update Date
2012-02-01
Business Address
-- SARA TERESA POLANCO OTR/L, DSc
650 JOEL DR OCCUPATIONAL THERAPY DEPARTMENT
FORT CAMPBELL, KY 42223-5318
Phone number: 719-602-9441
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Mailing Address
-- SARA TERESA POLANCO OTR/L, DSc
950 BIG SKY DR APT E-304
CLARKSVILLE, TN 37040-5273
Phone number: 719-602-9441
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