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Individual

MR. JEFFREY CHARLES POTERALSKI

Active
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Individual

MR. JEFFREY CHARLES POTERALSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5997
TN
225100000X
Physical Therapist
PT7553
GA
2251X0800X
Orthopedic Physical Therapist
5997
TN

Other

Enumeration date
09/26/2006
Last updated
12/06/2017
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