Individual provider · Type 1 NPI

Kathleen Polak, PT

Specialist · Port Jefferson, NY

NPI number 1013329333 Active

Practice location

635 Belle Terre Rd, Ste 204
Port Jefferson, NY 11777-1977

Fax (631) 474-0224

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X037194 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1013329333

Kathleen Polak, PT's National Provider Identifier is 1013329333, issued on May 21, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson, NY. The record was last updated on Jun 9, 2023.