Individual
HEATHER POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
282 BROADMEADOWS BLVD APT A, COLUMBUS, OH 43214-1016
(614) 530-5815
Mailing address
282 BROADMEADOWS BLVD APT A, COLUMBUS, OH 43214-1016
(614) 530-5815
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OH3191290
OH
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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