Individual
MCGYVER POULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
10 TRAILS END RD, WINDHAM, ME 04062-7307
(207) 310-3966
Mailing address
PO BOX 904, WINDHAM, ME 04062-0904
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3883
ME
Other
Enumeration date
08/23/2020
Last updated
08/23/2020
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