Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT013014L | PA |
NPI | 1043421720 |
---|---|
Provider Name | J. Christopher Potts |
First Address | Pittsburgh, PA 15232-1727 |
Second Address | Pittsburgh, PA 15232-1727 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 12/04/2016 |