Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE POTTER, COTA
Active Sole ProprietorJACKIE POTTER, COTA is a Occupational Therapy Assistant healthcare provider located in BARDWELL, Kentucky. NPI 1407241730 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · BARDWELL, KY
Registration Details
- NPI Number
- 1407241730
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2015 (11.374499394147 yrs)
- Last Updated
- Apr 2, 2015
- License
-
A5156 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1429 STATE ROUTE 1203BARDWELL, KY, 420239034Browse KY providers · Browse ZIP 42023
- Phone
- 2705642944
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.