Individual
MS. CHRISTINE M POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 MOHAWK ST, FORT PLAIN, NY 13339-1350
(518) 568-3102
(518) 568-3109
Mailing address
75 MOHAWK ST, FORT PLAIN, NY 13339-1350
(518) 568-3102
(518) 568-3109
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004209-1
NY
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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