Individual
REBECCA ANN POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2019 ROWLEY RD, MALTA, NY 12020-4122
(518) 598-6919
Mailing address
2019 ROWLEY RD, MALTA, NY 12020-4122
(518) 598-6919
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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