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1265105456
JUSTIN POTOCKI
TUSCALOOSA, AL
NPI
1265105456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH11180)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2021-07-26
Last Update Date
2023-02-14
Business Address
JUSTIN POTOCKI
401 PETER BRYCE BLVD
TUSCALOOSA, AL 35487-2837
Phone number: 205-348-3904
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Mailing Address
JUSTIN POTOCKI
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-238-7217
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