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Contact Information

CAROL G POTTER, OTR/L, BCG, CAPS
21 CANDLEWOOD LN
MADISON, CT06443-1914
 Phone: 425-478-6098
 Fax: 425-977-7193
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CAROL G POTTER · (Female)

NPI Number 1952304875
Status Active
Credentials OTR/L, BCG, CAPS
Entity Individual
Enumeration date 05/24/2005
Last updated 08/13/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 6281
  • WA License # 1963
  • WA Medicaid 7682305
  • WA Other 0153392 LABOR & INDUSTRIES
  • WA Other 0373PO REGENCE BS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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