| Doctor Name: | ANGELLA B POLSON |
| NPI Number: | 1043442957 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MF |
| License Number: | |
| Business Practice Address: | 3845 Hendersonville Rd Fletcher, NC - 287328241 |
| Business Phone Number: | 8286841644 |
| Business Fax Number: | 8286840648 |
| Mailing Address: | Po Box 428, SKYLAND |
| State: | NC |
| Postal Code: | 287760428 |
| Phone Number: | 8286841644 |
| Fax Number: | 8286840648 |
| NPI Enumeration Date: | 08/12/2009 |
| NPI Last Update Date: | 09/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 224900000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Mastectomy Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. |