Individual provider · Type 1 NPI

Mary-Anne Angeline Polan, OTR

Specialist · Clinton Township, MI

NPI number 1285773739 Active

Practice location

22550 Hall Rd
Clinton Township, MI 48036-1189

Call (586) 466-7904 Map

Mailing address

39475 Lakeshore Dr
Harrison Township, MI 48045-1863

Specialties and licenses

TaxonomyCodeLicense
Contractor 171W00000X5201001745 (MI)
Specialist Primary 174400000X5201001745 (MI)

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 1285773739

Mary-Anne Angeline Polan, OTR's National Provider Identifier is 1285773739, issued on Feb 5, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Clinton Township, MI. The record was last updated on May 27, 2010.