Individual
HATTIE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 DAVIS ST, ALVA, OK 73717-3430
(580) 748-1988
Mailing address
1540 DAVIS ST, ALVA, OK 73717-3430
(580) 748-1988
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4273
OK
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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