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Summer Potter, COTA/L
NPI 1629503941 · on the registry since 2017
Practice
- Address
- 101 Monroe St
Petaluma, CA 94954 - Phone
- (707) 763-4109
- Organisation at this address
- Petalumaidence Opco, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Additional practice sites
- 6840 E Brown Rd, Mesa, AZ
Registry record
- Primary taxonomy
- Occupational Therapy Assistant
224Z00000X
- Also registered as
- Occupational Therapy Assistant
- Licence states on file
- AZ, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-15
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 California