Individual
CHRIS T POULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7 FAYETTE DR, SOUTH BURLINGTON, VT 05403-6977
(802) 658-0949
Mailing address
110 LIBERTY LN, COLCHESTER, VT 05446-6039
(802) 879-2951
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104-0000045
VT
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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