NPI 1285982686

Matthew O'Neil Potter

Practitioner Rehabilitation Counselor Yukon, OK

Practice location

Address: 1317 Sylvan Sand, Yukon, OK 73099-3161
Phone: (405) 206-4006
Mailing address: 1317 Sylvan Sand, Yukon, OK 73099

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X Licence 225C00000X (OK)

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Registry record

NPI: 1285982686
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2012
Record last updated: 16 Aug 2012

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.