Individual
ELLEN M POULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2854 MITCHELL PL, DECATUR, GA 30032-4258
(404) 579-1699
(404) 759-2166
Mailing address
2854 MITCHELL PL, DECATUR, GA 30032-4258
(404) 579-1699
(404) 759-2166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4366
GA
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/20/2012
Last updated
04/05/2018
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