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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE ANNE POLUKOFF, OTR/L

Active Sole Proprietor

STEPHANIE ANNE POLUKOFF, OTR/L is a Occupational Therapist healthcare provider located in PARK CITY, Utah. NPI 1235467317 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · PARK CITY, UT

Registration Details

NPI Number
1235467317
Provider Type
Individual
Gender
Female
NPI Issued
Nov 30, 2009 (16.66492866075 yrs)
Last Updated
Nov 30, 2009
License
4829530-4201 (UT)
Sole Proprietor
Yes

Practice Information

Address
4910 BEAR VIEW DR
PARK CITY, UT, 840988553
Browse UT providers · Browse ZIP 84098
Phone
4356409001
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in PARK CITY, UT

Name Credential NPI
KATHLEEN M PAPI-BAKER OT 1679655625
MEGAN B WILLIAMS OT 1093860405
MRS. NICOLE LEE LADOUCEUR OTRL 1841418365
MRS. STEPHANIE MARIE RUDISILL OTR 1063633964
SHANNON SHABNAM SHAFIE OTR 1841403995
PAMELA HOPE HAUS OTR/L 1952598021
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.