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Individual

MRS. SARAH CARROLL POULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
12382 OLIVE BLVD, CREVE COEUR, MO 63141-6443
(314) 453-9675
(314) 469-1294
Mailing address
12382 OLIVE BLVD, CREVE COEUR, MO 63141-6443
(314) 453-9675
(314) 469-1294

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2008016032
MO

Other

Enumeration date
07/22/2010
Last updated
07/22/2010
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