Individual
MIA POULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 W LAKE MEAD PKWY STE 100, HENDERSON, NV 89015-7076
(702) 337-2938
Mailing address
309 W LAKE MEAD PKWY STE 100, HENDERSON, NV 89015-7076
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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