| NPI | 1184057143 |
|---|---|
| Doing Business As | POULIN PERFORMANCE AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | SUSAN DODGE President 802-658-0949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VT 040.0002127) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-10-16 |