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Individual

LACI POTTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
369 E HIRSCH WOODS LN, HAUBSTADT, IN 47639-8830
(812) 768-5960
Mailing address
369 E HIRSCH WOODS LANE, HAUBSTADT, IN 47639

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000832A
IN

Other

Enumeration date
10/15/2012
Last updated
10/15/2012
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