Organization
DAVID POTOKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID POTOKER EDD CCC-SLP (ADMINISTRATOR)
(814) 459-9700
Entity
Organization
Contact information
Practice address
1611 PEACH ST, SUITE 290, ERIE, PA 16501-2109
(814) 459-9700
(814) 454-8728
Mailing address
1611 PEACH ST, SUITE 290, ERIE, PA 16501-2109
(814) 459-9700
(814) 454-8728
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
SL 00129 L
PA
Other
Enumeration date
03/27/2008
Last updated
10/04/2011
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