Doctor Name: | SARAH ELIZABETH POTOCZNY |
NPI Number: | 1508930348 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT26093 |
Business Practice Address: | 548 Ocean St Santa Cruz, CA - 950606602 |
Business Phone Number: | 8314233196 |
Business Fax Number: | 8314230755 |
Mailing Address: | 114 Stockton Ave, SANTA CRUZ |
State: | CA |
Postal Code: | 950606220 |
Phone Number: | 8312348598 |
Fax Number: | 8314230755 |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT26093 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |