| Doctor Name: | JEFFREY DARL POTHOVEN |
| NPI Number: | 1285948893 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 6260 |
| Business Practice Address: | 333 S Pine St Spartanburg, SC - 293022622 |
| Business Phone Number: | 8645157580 |
| Business Fax Number: | |
| Mailing Address: | 103 N Main St, Ste 300 GREENVILLE |
| State: | SC |
| Postal Code: | 296012796 |
| Phone Number: | 8645285700 |
| Fax Number: | 8645285701 |
| NPI Enumeration Date: | 08/06/2010 |
| NPI Last Update Date: | 07/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 6260 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| 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 |