Individual
JUSTIN RYAN POTOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 S COLORADO BLVD STE 640, GLENDALE, CO 80246-1239
(303) 320-4450
Mailing address
400 S COLORADO BLVD STE 640, GLENDALE, CO 80246-1239
(336) 765-7058
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0019055
CO
225100000X
Physical Therapist
P24217
NC
225100000X
Physical Therapist
PTH11180
AL
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/26/2021
Last updated
04/08/2026
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