TRUDY MARIE POTTER

AMMON, ID
NPI1659473106
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  248)
Enumeration Date2006-09-04
Last Update Date2007-07-08
Business Address
TRUDY MARIE POTTER PTA
1257 NEWGATE DR
AMMON, ID 83406-4696
Phone number: 208-552-9971
Mailing Address
TRUDY MARIE POTTER PTA
1257 NEWGATE DR
AMMON, ID 83406-4696
Phone number: 208-552-9971