Jacee Meryll Polo, PT

NPI #1073540522 in Commack, New York

Provider Information

NPI Number: 1073540522
Entity Type: Individual
Name: Jacee Meryll Polo, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 297 COMMACK RD
City: Commack
State: New York
ZIP Code: 11725-3401
Phone: (631) 499-1038

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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