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Individual

MARY LEE POTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA, COTA

Contact information

Practice address
9 WATSON AVE, HOULTON, ME 04730-1919
(207) 532-4406
Mailing address
9 WATSON AVE, HOULTON, ME 04730-1919
(207) 532-4406

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA440
ME
225200000X
Physical Therapy Assistant
PA70000859
ME

Other

Enumeration date
07/05/2007
Last updated
09/11/2025
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