Individual
JESSICA POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
13857 APPLE HARVEST DR, MARTINSBURG, WV 25403-6199
(304) 596-0996
Mailing address
77 EDS LN, BERKELEY SPRINGS, WV 25411-5741
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2039
WV
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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