Individual
ROBERT JAY POTTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2322 MORGAN AVE, CORPUS CHRISTI, TX 78405-1947
(361) 882-4242
Mailing address
6522 MALACHITE DR, CORPUS CHRISTI, TX 78414-6079
(361) 425-4085
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2063037
TX
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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