Richard P Poulsen MPT, ATC

NPI 1659460103 - Physical Therapist - 225100000X

NPI Details
NPI 1659460103
Gender Male
Enumeration Date 10/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3662 KATELLA AVE
SUITE 105
LOS ALAMITOS CA, 90720-3124, US
Phone (562) 799-4494
Fax (562) 280-0304
Business Location
3662 KATELLA AVE
SUITE 105
LOS ALAMITOS CA, 90720-3124, US
Phone (562) 799-4494
Fax (562) 280-0304
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT29339
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According to our database, Richard P Poulsen MPT, ATC NPI is 1659460103, taxonomy code is 225100000X and license number is PT29339, license state is located at California. Richard P Poulsen MPT, ATC physically located at 3662 Katella Ave, Los Alamitos CA, 90720-3124. NPI Number Richard P Poulsen MPT, ATC has the Individual type.

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1659460103 NPI number is provided on an as is basis without warranty of any kind. 1659460103 is maintained by the National Plan & Provider Enumeration System. The contents of Richard P Poulsen MPT, ATC are for informational purposes only.