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Todd Poulson, MSOTR/L

Skilled Nursing Facility in Ogden, UT. Individual provider (NPI-1).

NPI number1386802403
StatusActive
Last updated in NPPESMay 27, 2008

Details

NPI
1386802403
Entity type
Individual (NPI-1)
Name
Todd Poulson
Credential
MSOTR/L
Sex
Male
Sole proprietor
Yes
Enumeration date
May 27, 2008
Last updated
May 27, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility336746-4201UTYes

Practice location

3430 Harrison Blvd
Ogden, UT 84403-1231

Phone 801-399-5609

Mailing address

1071 W 275 S
Layton, UT 84041-5247

Phone 801-593-8136

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