NPI 1003956558

Holli Marie Poulakos, LMTNMT

Practitioner Specialist Canfield, OH

Practice location

Address: 3695 Boardman Canfield Rd # B Suite 100, Canfield, OH 44406-9009
Phone: (330) 702-0500
Fax: (330) 702-0575

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 13351 (OH)

Other Specialist providers in Ohio →

Registry record

NPI: 1003956558
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.