NPI 1043407836

Alyson Polanco

Practitioner Contractor Fredericksburg, VA

Practice location

Address: 60 Brimley Dr, Fredericksburg, VA 22406-5148
Phone: (540) 552-6262
Mailing address: 2200 Gause Blvd E, Slidell, LA 70461-4223

Registered specialties (2)

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 006809 (OH)

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Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 0119006721 (VA)

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Registry record

NPI: 1043407836
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2007
Record last updated: 28 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.