Tracey Polk
Physical Therapist - Geriatrics
12800 Libertys Delight Dr Unit 104
Bowie
, Maryland 20720-6347
Tracey Polk
Physical Therapist - Geriatrics
12800 Libertys Delight Dr Unit 104
Bowie
, Maryland 20720-6347
(240) 515-7308
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Tracey Polk
- 12800 Libertys Delight Dr Unit 104
- Bowie, MD
- Zip : 20720-6347
- Phone : (240) 515-7308
Second Address
- Tracey Polk
- 12800 Libertys Delight Dr Unit 104
- Bowie, MD
- Zip : 20720-6347
- Phone : (240) 515-7308
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What type of doctor is Tracey Polk
In what state does Tracey Polk practice in?
Where is Tracey Polk ’s practice located?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | 25698 | MD |
| N | 2251G0304X | Physical Therapist - Geriatrics | 6033 | NC |
National Provider Identifier
| NPI | 1265607642 |
|---|---|
| Provider Name | Tracey Polk |
| First Address | Bowie, MD 20720-6347 |
| Second Address | Bowie, MD 20720-6347 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2008 |
| Last Update Date | 22/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.