NPI 1013624287

Matthew Potts, COTA

Practitioner Occupational Therapy Assistant Lagrange, IN

Practice location

Address: 787 N Detroit St, Lagrange, IN 46761-1111
Phone: (260) 463-2172
Mailing address: 713 Wakefield Cir, Kendallville, IN 46755-2604

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 32001213A (IN)

Other Occupational Therapy Assistant providers in Indiana →

Registry record

NPI: 1013624287
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2022
Record last updated: 27 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.