Individual
CHARISSE OLIVIA CASTINADO POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
11193 S REDWOOD RD, SOUTH JORDAN, UT 84095-8401
(801) 415-9343
Mailing address
13021 S BILSTON LN, HERRIMAN, UT 84096-2172
(720) 971-4972
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305215733
VA
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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