Individual
MIKAELA POTRAKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
560 DEVALL DR, AUBURN, AL 36832-5813
(334) 844-7616
(334) 844-7616
Mailing address
425 OPELIKA RD APT 270, AUBURN, AL 36830-3926
(484) 639-1882
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1760
AL
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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