Potvin, Stacy Ellen

Potvin, Stacy Ellen is an individual health care provider with primary practice located at 330 Brookline Ave , Boston MA 02215-5400. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Potvin, Stacy Ellen can be contacted via phone (617) 667-4530.

Contact Information

Primary practice address
330 Brookline Ave Boston MA 02215-5400
Phone: (617) 667-4530
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 3450 Massachusetts

Profile Details

NPI number 1730480906
LBN Legal business name Potvin, Stacy Ellen
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2010
Last updated Nov 4th, 2010 - about 15 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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