Stacey Brooke Potter
Physical Therapist - Pediatrics
13720 Midway Rd Ste 107
Dallas
, Texas 75244-4313
Stacey Brooke Potter
Physical Therapist - Pediatrics
13720 Midway Rd Ste 107
Dallas
, Texas 75244-4313
(214) 699-8962
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Stacey Brooke Potter
- 13720 Midway Rd Ste 107
- Dallas, TX
- Zip : 75244-4313
- Fax : (214) 699-8962
- Phone : (214) 646-1449
Second Address
- Stacey Brooke Potter
- 13720 Midway Rd Ste 107
- Dallas, TX
- Zip : 75244-4313
- Fax : (214) 699-8962
- Phone : (214) 646-1449
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FAQs
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What type of doctor is Stacey Brooke Potter
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Is Stacey Brooke Potter a sole practitioner?
Is Stacey Brooke Potter accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 1264605 | TX |
National Provider Identifier
| NPI | 1033585773 |
|---|---|
| Provider Name | Stacey Brooke Potter |
| First Address | Dallas, TX 75244-4313 |
| Second Address | Dallas, TX 75244-4313 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2015 |
| Last Update Date | 17/08/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1264605 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.