Individual
TAMARA POULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 W 56TH AVE, HUTCHINSON, KS 67502-3238
(620) 474-2912
Mailing address
310 WEST 56TH, HUTCHINSON, KS 67502
(620) 474-2912
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00464
KS
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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