Most Relevant Information
Provider Data
| NPI Number: | 1003444399 |
| Provider Name: | TODD POLCZYNSKI |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/31/2020 |
| Last Updated: | 03/31/2020 |
Provider Practice Location
W245N7414 STONEFIELD DR
SUSSEX
WI
530892193
Practice Location Phone/Fax
| Phone: | 2625425874 |
| Fax: |
Provider Mailing Location
2900 GOLF RD
PEWAUKEE
WI
530725449
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |