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Alyssa Potter

Physical Therapy Assistant in Overland Park, KS. Individual provider (NPI-1).

NPI number1770026874
StatusActive
Last updated in NPPESNov 22, 2016

Details

NPI
1770026874
Entity type
Individual (NPI-1)
Name
Alyssa Potter
Sex
Female
Sole proprietor
No
Enumeration date
Nov 22, 2016
Last updated
Nov 22, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant14-01613KSYes

Practice location

12202 Goodman St
Overland Park, KS 66213

Phone 913-908-1195

Mailing address

12202 Goodman St
Overland Park, KS 66213-1272

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