Individual
MR. DAVID J POTUCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT, CFMT
Contact information
Practice address
1300 POST RD STE 210, FAIRFIELD, CT 06824-6038
(203) 557-9111
(203) 601-7110
Mailing address
195 GEORGETOWN RD, WESTON, CT 06883-1234
(203) 305-3503
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0007569
CT
Other
Enumeration date
10/16/2006
Last updated
03/11/2020
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