MS. Jeanna Suzanne Polonchek, ED.D, ATC, CPED, OT-

NPI #1790745693 in Wareham, Massachusetts

Provider Information

NPI Number: 1790745693
Entity Type: Individual
Name: MS. Jeanna Suzanne Polonchek, ED.D, ATC, CPED, OT-
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: ED.D, ATC, CPED, OT-
Enumeration Date: Mar 24, 2006
Last Updated: Sep 8, 2009

Practice Location

Address: 1 RECOVERY RD
Address 2: SUITE FOUR
City: Wareham
State: Massachusetts
ZIP Code: 02571-5011
Phone: (508) 295-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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