Individual
REBECCA POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
312 W BUTE ST STE 100, NORFOLK, VA 23510-1302
(757) 252-2600
Mailing address
700 COCOWALK LN APT 308, VIRGINIA BEACH, VA 23462-7481
(540) 907-5954
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002327
VA
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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