Individual
AMARA POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2224 W ALTA VISTA RD, PHOENIX, AZ 85041-5424
(845) 240-0811
Mailing address
2224 W ALTA VISTA RD, PHOENIX, AZ 85041-5424
(845) 240-0811
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
7824
AZ
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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