Doctor Name: | KIANDRA POTEAT |
NPI Number: | 1063860252 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 5501017172 |
Business Practice Address: | 3452 Lake Lynda Dr Suite 200 Orlando, FL - 328171430 |
Business Phone Number: | 8007747785 |
Business Fax Number: | |
Mailing Address: | 2024 Mount Vernon Cir, HARRISBURG |
State: | PA |
Postal Code: | 171103709 |
Phone Number: | 2153413336 |
Fax Number: | |
NPI Enumeration Date: | 05/27/2016 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501017172 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |