Individual
MEGAN E POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 S CRESCENT ST, GILMAN, IL 60938-6129
(815) 265-7208
Mailing address
301 N SECOND STREET, PO BOX 318, ASHKUM, ID 60911
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012350
IL
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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