| David John Polonus Ii, DPT | |
|
1404 N Canfield Niles Rd, Mineral Ridge, OH 44440-9615 | |
| (330) 349-0303 | |
| (330) 349-0404 |
| Full Name | David John Polonus Ii |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1404 N Canfield Niles Rd, Mineral Ridge, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114781317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Action Physical Therapy And Rehabilitation, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750462057 PECOS PAC ID: 7214912336 Enrollment ID: O20201006001757 |
| Mailing Address | Practice Location Address |
|---|---|
| David John Polonus Ii, DPT 609 W Liberty St, Hubbard, OH 44425-1750 Ph: (330) 534-8500 | David John Polonus Ii, DPT 1404 N Canfield Niles Rd, Mineral Ridge, OH 44440-9615 Ph: (330) 349-0303 |
Action Physical Therapy And Rehabilitation, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1404 N Canfield Niles Rd, Mineral Ridge, OH 44440 Phone: 330-349-0303 Fax: 330-349-0404 | |
Erin L Hladiuk, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1762 Dumont Dr, Mineral Ridge, OH 44440 Phone: 330-544-1072 |