Sallie Potter OT

NPI 1417100330 - Occupational Therapist - 225X00000X

NPI Details
NPI 1417100330
Gender Female
Enumeration Date 10/23/2008
Last Updated 10/23/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
725 N BELL TRACE CIR
BLOOMINGTON IN, 47408-4408, US
Phone (812) 323-2858
Fax
Business Location
118 MEDICAL DR
CARMEL IN, 46032-2923, US
Phone (317) 573-1037
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Indiana
License Number 31000192A
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According to our database, Sallie Potter OT NPI is 1417100330, taxonomy code is 225X00000X and license number is 31000192A, license state is located at Indiana. Sallie Potter OT physically located at 725 N Bell Trace Cir, Bloomington IN, 47408-4408. NPI Number Sallie Potter OT has the Individual type.

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1417100330 NPI number is provided on an as is basis without warranty of any kind. 1417100330 is maintained by the National Plan & Provider Enumeration System. The contents of Sallie Potter OT are for informational purposes only.