Individual
PAUL EDWARD POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
770 N COTNER BLVD, STE 125, LINCOLN, NE 68505-2377
(402) 464-6141
(402) 464-6142
Mailing address
5600 S 76TH CT, LINCOLN, NE 68516-4383
(402) 430-4716
(402) 464-6142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
459
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09118
BLUE CROSS/BLUE SHIELD
NE
Enumeration date
08/12/2006
Last updated
02/16/2018
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