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Kathleen Polak, PT
Specialist in Port Jefferson, New York
NPI 1013329333

Kathleen Polak is a Specialist based in Port Jefferson, NY. Kathleen Polak practices in Port Jefferson, NY and has the professional credentials of PT. The NPI Number for Kathleen Polak is 1013329333 and holds a License No. 037194 (New York).

The current practice location address for Kathleen Polak is 635 Belle Terre Rd, Port Jefferson, NY and can be reached out via phone at 631-474-0008 and via fax at 631-474-0224.

Location: 635 Belle Terre Rd, Port Jefferson, NY, 11777-1977
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013329333
Provider Name
Kathleen Polak
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
635 Belle Terre Rd, Port Jefferson, NY, 11777-1977
Phone Number
631-474-0008
Fax Number
631-474-0224
Provider Enumeration Date
05/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
635 Belle Terre Rd
City
Port Jefferson
State
New York
Zip
11777-1977
Phone Number
631-474-0008
Fax Number
631-474-0224
person
Provider Business Mailing Address Details
Address
635 Belle Terre Rd
City
Port Jefferson
State
New York
Zip
11777-1977
Phone Number
631-474-0008
Fax Number
631-474-0224
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
037194 (New York)
Definition
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.
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