Poulin Performance And Rehabilitation Center
LBN: Poulin Performance, Inc.
Poulin Performance And Rehabilitation Center is an health care organization with primary practice located at 21 Gregory Dr Suite 120, South Burlington VT 05403-6080. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Poulin Performance, Inc. can be contacted via phone (802) 658-0949, or through Critchlow, Cynthia Audette via phone (802) 656-0949.
Contact Information
Primary practice address
21 Gregory Dr Suite 120
South Burlington VT 05403-6080
Phone: (802) 658-0949
Fax: (802) 658-1436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 040-0002746 | Vermont |
Profile Details
| NPI number | 1174553283 |
|---|---|
| LBN Legal business name | Poulin Performance, Inc. |
| DBA Doing business as | Poulin Performance And Rehabilitation Center |
| Authorized official | Critchlow, Cynthia Audette CAPPM |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Oct 23rd, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174553283 | NPPES |
| Utah | Other | 0632746 | CIGNA |
| Utah | MEDICAID | 1009260 | CIGNA |
| Utah | Other | 59089 | CIGNA |
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