THEODORE WILLIAM POLAKOWSKI

MESA, AZ
NPI1649780305
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2017-10-09
Last Update Date2017-10-09
Business Address
THEODORE WILLIAM POLAKOWSKI ATC
2909 E FOX ST
MESA, AZ 85213-5443
Phone number: 480-641-1798
Mailing Address
THEODORE WILLIAM POLAKOWSKI ATC
2909 E FOX ST
MESA, AZ 85213-5443
Phone number: 480-641-1798
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