Individual
SUSAN BEATRICE POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
384 RUGG RD, SCHUYLERVILLE, NY 12871-2020
(518) 695-9256
Mailing address
384 RUGG RD, SCHUYLERVILLE, NY 12871-2020
(518) 695-9256
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009083
NY
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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