Most Relevant Information
Provider Data
| NPI Number: | 1003194721 |
| Provider Name: | SHELLEY MARIE POLINER LPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5501008220 |
Most Important Dates
| Enumeration Date: | 07/29/2011 |
| Last Updated: | 06/08/2022 |
Provider Practice Location
5969 N CANTON CENTER RD
CANTON
MI
481872757
Practice Location Phone/Fax
| Phone: | 8774073422 |
| Fax: | 8774074329 |
Provider Mailing Location
7 CARNEGIE PLZ
CHERRY HILL
NJ
080031000
Provider Mailing Phone/Fax
| Phone: | 8774073422 |
| Fax: | 8774074329 |