Individual
DYLAN CHASE POTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
13600 S TRYON ST, CHARLOTTE, NC 28278
(704) 705-2727
Mailing address
370 RUTH LINNEY RD, ROARING RIVER, NC 28669-8700
(336) 981-4749
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A6909
NC
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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