Jackie Potter, COTA

NPI #1407241730 in Bardwell, Kentucky

Provider Information

NPI Number
1407241730
Entity Type
Individual
Name
Jackie Potter, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Apr 2, 2015
Last Updated
Apr 2, 2015

Practice Location

Address
1429 STATE ROUTE 1203
ZIP Code
42023-9034
Phone
(270) 564-2944

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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