Kathleen Polak, PT

NPI #1013329333 in Port Jefferson, New York

Provider Information

NPI Number: 1013329333
Entity Type: Individual
Name: Kathleen Polak, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PT
Enumeration Date: May 21, 2014
Last Updated: Jun 9, 2023

Practice Location

Address: 635 BELLE TERRE RD
Address 2: STE 204
City: Port Jefferson
State: New York
ZIP Code: 11777-1977
Phone: (631) 474-0008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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