Potter, Angela J

Potter, Angela J is an individual health care provider with primary practice located at 37 College Ave Costello Sports Complex, Gorham ME 04038-1032. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Potter, Angela J can be contacted via phone (207) 780-5943.

Contact Information

Primary practice address
37 College Ave Costello Sports Complex Gorham ME 04038-1032
Phone: (207) 780-5943
Fax: (207) 780-5354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT221 Maine

Profile Details

NPI number 1639515810
LBN Legal business name Potter, Angela J
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2013
Last updated May 15th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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