Individual
KRYSTAL POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4008 S YALE AVE, TULSA, OK 74135-6017
(918) 622-4278
Mailing address
PO BOX 721018, NORMAN, OK 73070-4786
(918) 270-1378
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3256
OK
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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