Individual
ALYSSA POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12202 GOODMAN ST, OVERLAND PARK, KS 66213
(913) 908-1195
Mailing address
12202 GOODMAN ST, OVERLAND PARK, KS 66213-1272
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01613
KS
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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