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Drew Potter, ATC, LAT
NPI 1578955704 · on the registry since 2015 · sole proprietor
Practice
- Address
- 4530 Cromwell Ct
Loves Park, IL 61111 - Phone
- (815) 742-4392
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-16
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