Individual
MRS. MICHELLE JANESE POTTINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1875 CANDLELIGHT CT, OWINGS, MD 20736-3616
(410) 921-6846
(855) 494-1574
Mailing address
46112 THOROUGHBRED WAY, LEXINGTON PK, MD 20653-2069
(240) 431-2459
(855) 494-1574
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07593
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/07/2013
Last updated
06/04/2021
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