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Contact Information

THERESA M POLEFKO, OT
1605 ST RT 60
SUITE 3
Vermilion, OH44089
 Phone: 440-967-2508
 Fax: 440-967-4023
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for THERESA M POLEFKO · (Female)

NPI Number 1922069236
Status Active
Credentials OT (Occupational Therapist)
Entity Individual
Enumeration date 03/28/2006
Last updated 08/28/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OH License # OT005904
  • OH Other 000000359898 ANTHEM BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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