Potter, Keith Leslie

Potter, Keith Leslie is an individual health care provider with primary practice located at 4001 E Baseline Rd Suite B2, Gilbert AZ 85234-2726. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist, which is considered as his primary health care specialty. Potter, Keith Leslie can be contacted via phone (480) 539-5629.

Contact Information

Primary practice address
4001 E Baseline Rd Suite B2 Gilbert AZ 85234-2726
Phone: (480) 539-5629
Fax: (480) 539-5669
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist 225A00000X

Profile Details

NPI number 1457562290
LBN Legal business name Potter, Keith Leslie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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