MR. Kevin E Polla, PTA

NPI #1134391360 in Virginia, Minnesota

Provider Information

NPI Number: 1134391360
Entity Type: Individual
Name: MR. Kevin E Polla, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 27, 2008
Last Updated: Mar 27, 2008

Practice Location

Address: 901 9TH ST N
Address 2: SUITE 100
City: Virginia
State: Minnesota
ZIP Code: 55792-2325
Phone: (218) 749-9405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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