Individual
ASHLEY POULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13720 E 86TH ST N, OWASSO, OK 74055-8704
(918) 609-8088
(918) 609-8089
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 494-2665
(918) 927-3193
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2837
OK
Other
Enumeration date
01/03/2018
Last updated
04/18/2022
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