Individual
MRS. LISA ANN POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEVELOPMENTAL INTERV
Contact information
Practice address
70 POPPY DR, ASHLAND, KY 41102-7955
(606) 836-0606
(606) 836-0606
Mailing address
70 POPPY DR, ASHLAND, KY 41102-7955
(606) 836-0606
(606) 836-0606
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1712
KY
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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