Doctor Name: | HOLLI MARIE POULAKOS |
NPI Number: | 1003956558 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T., N.M.T. |
License Number: | 13351 |
Business Practice Address: | 3695 Boardman Canfield Rd # B Suite 100 Canfield, OH - 444069009 |
Business Phone Number: | 3307020500 |
Business Fax Number: | 3307020575 |
Mailing Address: | 3695 Boardman Canfield Rd # B, Suite 100 CANFIELD |
State: | OH |
Postal Code: | 444069009 |
Phone Number: | 3307020500 |
Fax Number: | 3307020575 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 13351 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |