MEDICARE: MS. KIRSTIN MIR POLING OT

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
1	225X00000X	Occupational Therapist	OT-04441	OH

General Provider Information

NPI Number	:	1881157147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KIRSTIN MIR POLING OT

Provider Business Mailing Address
First Line	:	6962 MAPLE GLEN AVE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-9412
Country	:	US
Telephone Number	:	330-495-0527
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 CLEVELAND AVE NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44709-3306
Country	:	US
Telephone Number	:	330-456-0004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2019
Last Update Date	:	04/12/2019

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1982605507 — CANTON CHRISTIAN HOME, INC
Practice Location Address:

2550 CLEVELAND AVE NW
CANTON, OH
44709-3306

Practice Phone: 330-456-0004
Practice Fax: 330-452-9951

1376628230 — CANTON CHRISTIAN HOME
Practice Location Address:

2550 CLEVELAND AVE NW
CANTON, OH
44709-3306

Practice Phone: 330-456-0004
Practice Fax: 330-452-9951

1124381678 — COURTNEY A BAKAN CCC-SLP
Practice Location Address:

2550 CLEVELAND AVE NW
CANTON, OH
44709-3306

Practice Phone: 330-456-0004
Practice Fax:

1437686144 — JULIE ROLIK OTR/L
Practice Location Address:

2550 CLEVELAND AVE NW
CANTON, OH
44709-3306

Practice Phone: 330-456-0004
Practice Fax:

1669861316 — MISS TANYA ECKARD STNA
Practice Location Address:

816 10TH ST NW
CANTON, OH
44703-3306

Practice Phone: 330-466-9733
Practice Fax:

Directions to “ MS. KIRSTIN MIR POLING OT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.