Doctor Name: | STEPHANIE A POLKA |
NPI Number: | 1093830184 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICAL THERAPIST |
License Number: | 070-011664 |
Business Practice Address: | 507 E Armstrong Ave Peoria, IL - 616033201 |
Business Phone Number: | 3066861177 |
Business Fax Number: | 3096872035 |
Mailing Address: | 232 W. Clara, PEORIA |
State: | IL |
Postal Code: | 61614 |
Phone Number: | 3096939972 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070-011664 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |