Individual
VESPER POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 WELLS RD STE 203, ORANGE PARK, FL 32073-3036
(352) 226-0940
Mailing address
610 SW 77TH TER, GAINESVILLE, FL 32607-1565
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
08/01/2023
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