Individual
ALEX POULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
234 COLLEGE AVE, WATERVILLE, ME 04901-6226
(207) 873-5503
Mailing address
22 POULIN LN, FAIRFIELD, ME 04937-3191
(207) 314-1193
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA3952
ME
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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