Individual
ANDREA POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 FULTON ST, RAEFORD, NC 28376-1926
(910) 875-4280
Mailing address
201 ELM ST, SENECA, SD 57473-9321
(605) 377-4640
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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