Individual
MS. JEANA POULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
640 CONCORD AVE, CAMBRIDGE, MA 02138-1116
(617) 497-0600
Mailing address
53 ELM ST # 3, CHARLESTOWN, MA 02129-2421
(617) 515-5400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8503
MA
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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