MRS. Domenica Disalvo Potter, O.T.

NPI #1972753549 in Medford, New York

Provider Information

NPI Number: 1972753549
Entity Type: Individual
Name: MRS. Domenica Disalvo Potter, O.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: O.T.
Enumeration Date: Sep 19, 2008
Last Updated: Sep 19, 2008

Practice Location

Address: 6 LONG ACRE CT
City: Medford
State: New York
ZIP Code: 11763-2127
Phone: (632) 675-4511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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