Tracey Polk is a Geriatrics in Bowie, Maryland. Tracey Polk practices all healthcare services and medical treatments related to Geriatrics. The NPI Number for Tracey Polk is 1265607642. The last update date is 2019-08-22.
Tracey Polk's current location address is 12800 Libertys Delight Dr Unit 104, Bowie, Maryland. You can contact this provider via phone number 2405157308. The mailing address for Tracey Polk is 12800 Libertys Delight Dr Unit 104, Bowie, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey Polk |
|---|---|
| Address | 12800 Libertys Delight Dr Unit 104, Bowie, Maryland |
| Phone Number | 2405157308 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1265607642 |
|---|---|
| Provider Enumeration Date | 2008-04-25 |
| Last Updated Date | 2019-08-22 |
Provider Mailing Address Detail
| Address | 12800 Libertys Delight Dr Unit 104 |
|---|---|
| City | Bowie |
| State | Maryland (MD) |
| Post Code | 207206347 |
| Phone Number | 2405157308 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatrics |
|---|---|
| Taxonomy | 2251G0304X |
| Licence No | 6033 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evid |
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Post Comment/ Review Below
What is the unique identifier code issued to Tracey Polk by the Centers for Medicare & Medicaid Services (CMS)?
The Tracey Polk has been assigned the NPI (National Provider Identifier) 1265607642. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Tracey Polk?
The Tracey Polk is physically situated at 12800 Libertys Delight Dr Unit 104, in the city of Bowie, state of MD, with the postal code 207206347.
What is Tracey Polk's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tracey Polk is Geriatrics, and the taxonomy code that classifies this field of practice is 2251G0304X.
On what date did the Tracey Polk receive the assignment of its 1265607642 from the Centers for Medicare & Medicaid Services?
The Tracey Polk was issued its 1265607642 by the Centers for Medicare & Medicaid Services on 2008-04-25.
As of what date were the details pertaining to Tracey Polk last refreshed?
The information related to the Tracey Polk, including its address, specialty, and other relevant details, was last updated on 2019-08-22.