Individual
RICKENDRA BROOKE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
39 FERNDALE APARTMENTS RD, PINEVILLE, KY 40977-8578
(606) 337-7071
Mailing address
636 OLD BELL HIGH RD, PINEVILLE, KY 40977-8239
(606) 499-7730
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
274257
KY
225X00000X
Occupational Therapist
7079
TN
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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