Individual
BETHANNE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
433 W MAIN ST, TILTON, NH 03276-5026
(603) 286-4116
Mailing address
806 N MAIN ST, LACONIA, NH 03246-2603
(603) 524-9090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1312
NH
Other
Enumeration date
01/21/2014
Last updated
02/16/2021
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