MS. JEANNA SUZANNE POLONCHEK ED.D ATC CPED OT- NPI 1790745693

NPI Information

MS. Jeanna Suzanne Polonchek, ED.D, ATC, CPED, OT- is a specialist in Wareham, MA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MS. Jeanna Suzanne Polonchek, ED.D, ATC, CPED, OT- NPI is 1790745693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 RECOVERY RD
SUITE FOUR
WAREHAM, MA
ZIP 02571-011
Phone: (508) 295-8800
Fax: (508) 295-9467

The enumeration date for this NPI number is 3/24/2006 and was last updated on 9/8/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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