Individual
LAURETTE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
484 MAIN ST STE 600, WORCESTER, MA 01608-1881
(800) 244-2756
(508) 831-9768
Mailing address
280 SOUTH ST, DOUGLAS, MA 01516-2717
(508) 341-3958
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2309
MA
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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