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Brian Polofsky, PTA
NPI 1952638611 · on the registry since 2009
Practice
- Address
- 2012 Sherwood Drive
Johnson City, TN 37601 - Phone
- (423) 767-6655
- Organisation at this address
- Christian Home For The Aged, Inc.
Abundant Christian Living Community LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-11-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee