Individual
DR. MOLLY S POULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
665 TERRYVILLE AVE UNIT 1, BRISTOL, CT 06010-4078
(860) 973-4995
(860) 973-4996
Mailing address
PO BOX 42, BRISTOL, CT 06011-0042
(860) 973-4995
(860) 973-4996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011035
CT
Other
Enumeration date
10/18/2016
Last updated
04/15/2020
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