Individual
ANGELA J POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
37 COLLEGE AVE, COSTELLO SPORTS COMPLEX, GORHAM, ME 04038-1032
(207) 780-5943
(207) 780-5354
Mailing address
37 COLLEGE AVE, COSTELLO SPORTS COMPLEX, GORHAM, ME 04038-1032
(207) 780-5943
(207) 780-5354
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT221
ME
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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