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NPI Code Detail

MEDICARE: RACHEL B POULIN OTR-L

MEDICARE: RACHEL B POULIN OTR-L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist002248CT

General Provider Information

NPI Number : 1245448562
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL B POULIN OTR-L
Provider Business Mailing Address
First Line : 70 STAGECOACH LN
Second Line :
City : ROCKY HILL
State : CT
Zip : 06067-1164
Country : US
Telephone Number : 860-571-0036
Fax Number :
Provider Business Practice Location Address
First Line : 245 LONG HILL RD
Second Line :
City : MIDDLETOWN
State : CT
Zip : 06457-4063
Country : US
Telephone Number : 860-704-8400
Fax Number : 860-343-8166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 07/08/2007

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Directions to “ RACHEL B POULIN OTR-L” Practice Location

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