MR. Thomas A Polley, OTR/L

NPI #1912345505 in Lacey, Washington

Provider Information

NPI Number: 1912345505
Entity Type: Individual
Name: MR. Thomas A Polley, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: OTR/L
Enumeration Date: Jun 5, 2013
Last Updated: Jun 5, 2013

Practice Location

Address: 1941 DRAHAM RD NE
City: Lacey
State: Washington
ZIP Code: 98516-3828
Phone: (360) 951-8120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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