Individual
JACK POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-7000
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P23848
NC
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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