| NPI | 1174553283 |
|---|---|
| Doing Business As | POULIN PERFORMANCE AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA AUDETTE CRITCHLOW Practice Administrator 802-656-0949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VT 040-0002746) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-10-23 |