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Individual
JESSALYNN R POTTS
Active
Individual
JESSALYNN R POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT36819
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00883529
RAILROAD MEDICARE
CA
Enumeration date
06/08/2006
Last updated
05/13/2015
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