Individual
EMILY VIRGINIA POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7022 SARDIS RD, CHARLOTTE, NC 28270-6058
(704) 366-8260
Mailing address
808 BRIGHTWOOD LN, MATTHEWS, NC 28105-5607
(812) 230-2987
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13199
NC
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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