SHANNON POLIVKA

FREDERICKSBURG, VA
NPI1992301790
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: VA  0131002318)
Enumeration Date2020-12-07
Last Update Date2020-12-07
Business Address
SHANNON POLIVKA COTA
11 DAIRY LN
FREDERICKSBURG, VA 22405-2663
Phone number: 540-371-9414
Mailing Address
SHANNON POLIVKA COTA
623 FORBES ST
FREDERICKSBURG, VA 22405-2021
Phone number: 540-419-8695
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