Most Relevant Information
Provider Data
| NPI Number: | 1003341421 |
| Provider Name: | ANGELICA POLANCO |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | OTA15771 |
Most Important Dates
| Enumeration Date: | 04/23/2017 |
| Last Updated: | 04/23/2017 |
Provider Practice Location
1029 DAISY LN
WESTON
FL
333272443
Practice Location Phone/Fax
| Phone: | 9545608507 |
| Fax: |
Provider Mailing Location
1029 DAISY LN
WESTON
FL
333272443
Provider Mailing Phone/Fax
| Phone: | 9545608507 |
| Fax: |