Doctor Name: | SHARON A POLASTRY |
NPI Number: | 1124019237 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 13220 |
Business Practice Address: | 300 Birnie Ave Suite 201 Springfield, MA - 011071107 |
Business Phone Number: | 4137854666 |
Business Fax Number: | 4137369699 |
Mailing Address: | 300 Birnie Ave, Suite 201 SPRINGFIELD |
State: | MA |
Postal Code: | 011071107 |
Phone Number: | 4137854666 |
Fax Number: | 4137369699 |
NPI Enumeration Date: | 10/31/2005 |
NPI Last Update Date: | 11/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 13220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |