Individual
ANNELISE POTGIETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7740 VLEIGH PLACE, KEW GARDEN HILLS, NY 11367
(718) 591-9093
(718) 591-9499
Mailing address
3950 DOUGLASTON PARKWAY, DOUGLASTON, NY 11363
(917) 873-1012
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014397-1
NY
Other
Enumeration date
01/31/2007
Last updated
07/01/2021
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