Provider Demographics
NPI:1609753706
Name:POLANSKY, VICTORIA KATHRYN (DPT)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:KATHRYN
Last Name:POLANSKY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2019 WHITE SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:ELVERSON
Mailing Address - State:PA
Mailing Address - Zip Code:19520-9193
Mailing Address - Country:US
Mailing Address - Phone:484-999-1806
Mailing Address - Fax:
Practice Address - Street 1:6225 BRANDON AVE STE 185
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-2525
Practice Address - Country:US
Practice Address - Phone:703-386-7204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02354400225100000X
VACP048745T225100000X
PAPT033697225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist