Individual
MRS. GWEN ELIZABETH POTASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1927 MEMORIAL BLVD, MURFREESBORO, TN 37129
(615) 904-9111
(615) 867-5223
Mailing address
1700 GOLDEN VALLEY DR, CHRISTIANA, TN 37037-6152
(615) 893-6260
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1370
TN
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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