Individual provider · Type 1 NPI
Jeanna Suzanne Polonchek, ED.D, ATC, CPED, OT-
Specialist · Wareham, MA
NPI number
1790745693
Active
Practice location
1 Recovery Rd, Suite Four
Wareham, MA 02571-5011
Fax (508) 295-9467
Mailing address
707 Crane Ave S
Taunton, MA 02780-7232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 248 (MA) |
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.
9 other providers at this address
- Southcoast Physicians Group, Inc.Orthopaedic Surgery Physician Wareham, MA NPI 1437571650
- Wareham Orthopedic Associates IncorporatedOrthopaedic Surgery Physician Wareham, MA NPI 1891805230
- Charlene Casey, M.S., ATCAthletic Trainer Wareham, MA NPI 1972595718
- Christopher Barry, ATCAthletic Trainer Wareham, MA NPI 1770557449
- Gregory Johnson, MDOrthopaedic Surgery Physician Wareham, MA NPI 1366422677
- Jason W. Sadeck, MS, PA-CSurgical Physician Assistant Wareham, MA NPI 1386927721
- Madison Mazoyer, PA-CPhysician Assistant Wareham, MA NPI 1194692558
- Stephen A. Heacox, MDOrthopaedic Surgery Physician Wareham, MA NPI 1578543880
- Zachary PfisterPhysical Therapist Wareham, MA NPI 1215619564
Other specialist providers in Wareham
About NPI 1790745693
Jeanna Suzanne Polonchek, ED.D, ATC, CPED, OT-'s National Provider Identifier is 1790745693, issued on Mar 24, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Wareham, MA. The record was last updated on Sep 8, 2009.