Individual
MANSON POTEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1712 LELAND DR, HUNTINGBURG, IN 47542-4754
(812) 683-4090
Mailing address
504 RIDGEWAY CT, FERDINAND, IN 47532-9572
(615) 917-5301
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006025A
IN
Other
Enumeration date
02/25/2021
Last updated
03/06/2021
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