Kathleen Jo Poulsen
NPI #1801395660 in Los Altos, California
Provider Information
- NPI Number
- 1801395660
- Entity Type
- Individual
- Name
- Kathleen Jo Poulsen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Feb 7, 2018
- Last Updated
- Feb 7, 2018
Practice Location
- Address
- 215 ALVARADO AVE
- City
- Los Altos
- State
- California
- ZIP Code
- 94022-1221
- Phone
- (650) 868-0771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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