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NPI Code Detail

MEDICARE: REBECCA ANN POLING PT

MEDICARE: REBECCA ANN POLING PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist001184WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1001184OTHERWVPT LICENSE

General Provider Information

NPI Number : 1356610455
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ANN POLING PT
Provider Business Mailing Address
First Line : 8591 HOLLY MEADOWS RD
Second Line :
City : PARSONS
State : WV
Zip : 26287-8604
Country : US
Telephone Number : 304-478-3339
Fax Number : 304-457-3336
Provider Business Practice Location Address
First Line : 8591 HOLLY MEADOWS RD
Second Line :
City : PARSONS
State : WV
Zip : 26287-8604
Country : US
Telephone Number : 304-478-3339
Fax Number : 304-457-3336
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2011
Last Update Date : 09/14/2023

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Directions to “ REBECCA ANN POLING PT” Practice Location

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