Polukoff, Stephanie Anne
Polukoff, Stephanie Anne is an sole proprietor health care provider with primary practice located at 4910 Bear View Dr , Park City UT 84098-8553. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Polukoff, Stephanie Anne can be contacted via phone (435) 640-9001.Contact Information
Primary practice address
4910 Bear View Dr
Park City UT 84098-8553
Phone: (435) 640-9001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 4829530-4201 | Utah |
Profile Details
| NPI number | 1235467317 |
|---|---|
| LBN Legal business name | Polukoff, Stephanie Anne |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2009 |
| Last updated | Nov 30th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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