| Ryan Poulin, | |
|
73 Canal St, Millbury, MA 01527-3253 | |
| (508) 581-8703 | |
| Not Available |
| Full Name | Ryan Poulin |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 6 Years |
| Location | 73 Canal St, Millbury, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194370437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | PTL24511 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dg Physical Therapy Pc | 0143503680 | 33 |
| Provider Name | Dg Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1295279198 PECOS PAC ID: 0143503680 Enrollment ID: O20170208000911 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Poulin, 73 Canal St, Millbury, MA 01527-3253 Ph: (508) 581-8703 | Ryan Poulin, 73 Canal St, Millbury, MA 01527-3253 Ph: (508) 581-8703 |
Christa Julienne Rebidue, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13 Gover Rd, Millbury, MA 01527 Phone: 774-287-9987 | |
Mrs. Vicki Portais, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Margaret Ave, Millbury, MA 01527 Phone: 508-755-5141 | |
Melissa Pomeroy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Gover Rd, Millbury, MA 01527 Phone: 508-847-2832 |