Individual
MADISON POTTEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
6800 LAKE DR STE 270, WEST DES MOINES, IA 50266-2504
(515) 225-6212
(515) 225-7058
Mailing address
6800 LAKE DR STE 270, WEST DES MOINES, IA 50266-2504
(515) 225-6212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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