Individual
SARAH POULSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
2730 E 3300 S, SALT LAKE CITY, UT 84109-2819
(801) 487-0896
Mailing address
2730 E 3300 S, SALT LAKE CITY, UT 84109-2819
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
12777669-4002
UT
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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