Shannon Polivka, COTA
NPI #1992301790 in Fredericksburg, Virginia
Provider Information
- NPI Number
- 1992301790
- Entity Type
- Individual
- Name
- Shannon Polivka, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Dec 7, 2020
- Last Updated
- Dec 7, 2020
Practice Location
- Address
- 11 DAIRY LN
- City
- Fredericksburg
- State
- Virginia
- ZIP Code
- 22405-2663
- Phone
- (540) 371-9414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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