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Individual

MARIAH POULIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
28 PEARL STREET, GRANITEVILLE, VT 05654
(802) 279-4870
Mailing address
28 PEARL STREET, GRANITEVILLE, VT 05654
(802) 279-4870

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
072.0134282
VT
225X00000X
Occupational Therapist
OT009331
GA

Other

Enumeration date
07/18/2022
Last updated
04/21/2025
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