Individual
MATTHEW POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
787 N DETROIT ST, LAGRANGE, IN 46761-1111
(260) 463-2172
Mailing address
713 WAKEFIELD CIR, KENDALLVILLE, IN 46755-2604
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001213A
IN
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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