Individual
MR. DENNIS CLYDE POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
420 DEAN DR, GARDENDALE, AL 35071-2763
(205) 631-8709
Mailing address
148 HIGHLAND AVE, TRUSSVILLE, AL 35173-1461
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
151
AL
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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