Poulos, Cathy
Poulos, Cathy is an individual health care provider with primary practice located at 1140 Shipyard Blvd , Wilmington NC 28412-6439. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Poulos, Cathy can be contacted via phone (910) 799-4199.Contact Information
Primary practice address
1140 Shipyard Blvd
Wilmington NC 28412-6439
Phone: (910) 799-4199
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1458 | North Carolina |
Profile Details
| NPI number | 1467416057 |
|---|---|
| LBN Legal business name | Poulos, Cathy |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Oct 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467416057 | NPPES |
| North Carolina | MEDICAID | 720777V | |
| North Carolina | Other | 720777V |
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