Provider Demographics
NPI:1225775356
Name:ARIANNE POLATNICK DPT, P.A.
Entity Type:Organization
Organization Name:ARIANNE POLATNICK DPT, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:POLATNICK
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:215-279-3434
Mailing Address - Street 1:19101 MYSTIC POINTE DR APT 1509
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-4517
Mailing Address - Country:US
Mailing Address - Phone:215-279-3434
Mailing Address - Fax:
Practice Address - Street 1:19101 MYSTIC POINTE DR APT 1509
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-4517
Practice Address - Country:US
Practice Address - Phone:215-279-3434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy