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Individual

VIOLET POTOCKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L, CDRS

Contact information

Practice address
1000 CENTRAL ST, SUITE 101, EVANSTON, IL 60201-1777
(847) 570-2060
Mailing address
1000 CENTRAL ST, SUITE 101, EVANSTON, IL 60201-1777
(847) 570-2060

Taxonomy

Speciality
Code
Description
License number
State
225XR0403X
Driving and Community Mobility Occupational Therapist
Primary
056006669
IL

Other

Enumeration date
05/18/2010
Last updated
01/11/2011
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