Individual
MS. MARY ANN POTTER
Active
Individual
MS. MARY ANN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2525
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00184
AZ DDD CONTRACT #
AZ
01
—
507840
AHCCCS ID
AZ
01
—
AZ0300090
BCBS PROVIDER #
AZ
Enumeration date
05/31/2006
Last updated
07/13/2026
Update your record
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