Provider Demographics
NPI:1497863856
Name:POLUNSKY, ALISON RACHEL (MOTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:RACHEL
Last Name:POLUNSKY
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1351 SW 68TH AVE
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-5047
Mailing Address - Country:US
Mailing Address - Phone:954-729-1327
Mailing Address - Fax:
Practice Address - Street 1:1351 SW 68TH AVE
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-5047
Practice Address - Country:US
Practice Address - Phone:954-581-0014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10427225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist