Individual
AMBER JANE POTASNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
251A CHAPMAN RIDGE RD, SUMMERSVILLE, WV 26651-4069
(304) 619-0815
Mailing address
251A CHAPMAN RIDGE RD, SUMMERSVILLE, WV 26651-4069
(304) 619-0815
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1339
WV
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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