| Doctor Name: | SUZANNE D POTTER |
| NPI Number: | 1104135086 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | PT39542 |
| Business Practice Address: | 805 Aerovista Pl Ste 104 San Luis Obispo, CA - 934017921 |
| Business Phone Number: | 8055437771 |
| Business Fax Number: | 8055437761 |
| Mailing Address: | 1106 Walnut St, Suite 110 SAN LUIS OBISPO |
| State: | CA |
| Postal Code: | 934012416 |
| Phone Number: | 8057880805 |
| Fax Number: | 8057880845 |
| NPI Enumeration Date: | 09/27/2010 |
| NPI Last Update Date: | 03/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT39542 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |