Individual
JAMES DANIEL POTESTIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
6190 HOSPITAL DR, SUITE 101, CASS CITY, MI 48726-1072
(989) 872-2084
(989) 872-4337
Mailing address
216 N HANSELMAN ST, BAD AXE, MI 48413-1234
(989) 269-2690
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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