Individual
ELIZABETH ANN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10300 4TH ST N, ST PETERSBURG, FL 33716-3810
(727) 568-1025
Mailing address
752 86TH AVE N, ST PETERSBURG, FL 33702-3412
(727) 418-0990
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2318
FL
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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