LORRAINE POLCHAK

PUEBLO, CO
NPI1831540962
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CO  PTA0012060)
Enumeration Date2016-06-30
Last Update Date2016-06-30
Business Address
-- LORRAINE POLCHAK
4718 N ELIZABETH ST STE A
PUEBLO, CO 81008-2080
Phone number: 719-544-5895
Mailing Address
-- LORRAINE POLCHAK
4718 N ELIZABETH ST STE A
PUEBLO, CO 81008-2080
Phone number:
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