Individual
ASHLEE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2257 W WASHINGTON ST, BROKEN ARROW, OK 74012-6703
(918) 994-7799
Mailing address
13167 E 131ST ST N, COLLINSVILLE, OK 74021-4377
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2142
OK
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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