Individual
ALLISON ROSS POTTORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 HIGHWAY 71 W STE 1110, BASTROP, TX 78602-0316
(512) 549-3109
Mailing address
815 HIGHWAY 71 W STE 1110, BASTROP, TX 78602-0316
(512) 549-3109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111026
TX
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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