Individual
KATHRYN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 BEVILLE RD, STE G, SOUTH DAYTONA, FL 32119-1712
(800) 330-7711
(866) 426-2811
Mailing address
2180 MORTON AVE, MUSKEGON, MI 49441-1424
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004954
MI
Other
Enumeration date
06/11/2009
Last updated
03/03/2022
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