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Elizabeth Ann Potter, PTA

Physical Therapy Assistant in St Petersburg, FL. Individual provider (NPI-1).

NPI number1669940904
StatusActive
Last updated in NPPESNov 5, 2018

Details

NPI
1669940904
Entity type
Individual (NPI-1)
Name
Elizabeth Ann Potter
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Nov 5, 2018
Last updated
Nov 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA2318FLYes

Practice location

10300 4th St N
St Petersburg, FL 33716-3810

Phone 727-568-1025

Mailing address

752 86th Ave N
St Petersburg, FL 33702-3412

Phone 727-418-0990

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