Search › Illinois › 235Z00000X

Amanda Potter, MS

NPI 1528487626 · on the registry since 2014 · sole proprietor

Practice

Address
204 West Holloway Ave
Bismarck, IL 61814
Phone
(217) 304-1595

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-04-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois