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1417100330
SALLIE POTTER
BLOOMINGTON, IN
NPI
1417100330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IN 31000192A)
Enumeration Date
2008-10-23
Last Update Date
2008-10-23
Business Address
-- SALLIE POTTER OT
725 N BELL TRACE CIR
BLOOMINGTON, IN 47408-4408
Phone number: 812-323-2858
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Mailing Address
-- SALLIE POTTER OT
118 MEDICAL DR
CARMEL, IN 46032-2923
Phone number: 317-573-1037
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