Trudy Marie Potter, PTA

NPI #1659473106 in Ammon, Idaho

Provider Information

NPI Number
1659473106
Entity Type
Individual
Name
Trudy Marie Potter, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Sep 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1257 NEWGATE DR
City
Ammon
State
Idaho
ZIP Code
83406-4696
Phone
(208) 552-9971

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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