Individual
ANNIE RACHEL POOLE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6410 CAROLINA BEACH RD, WILMINGTON, NC 28412-2908
(910) 254-4200
Mailing address
315 WIMBLEDON CT, WILMINGTON, NC 28412-7374
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119008388
VA
225XP0200X
Pediatric Occupational Therapist
OT010001683
DC
Other
Enumeration date
10/31/2019
Last updated
08/05/2026
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