Stacy Ellen Potvin, PTA

Physical Therapy Assistant · Boston, MA

Individual Active NPI

NPI number 1730480906

Practice location

330 Brookline Ave
Boston, MA 02215-5400
Phone
(617) 667-4530

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NPI record

NPI
1730480906
Entity type
Individual (Type 1)
Enumeration date
November 4, 2010
Last updated
November 4, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 3450 MA

About Stacy Potvin

Stacy Ellen Potvin, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 330 Brookline Ave, Boston, MA 02215-5400. The NPI number 1730480906 was assigned on November 4, 2010 and the record was last updated on November 4, 2010.

Stacy Potvin lists a license in the registry: #3450 (MA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stacy Ellen Potvin, PTA?

The NPI number is 1730480906.

What is the phone number of Stacy Potvin?

The phone number listed for the practice location is (617) 667-4530.

Where is Stacy Potvin located?

330 Brookline Ave, Boston, MA 02215-5400.

What is the taxonomy code for Stacy Potvin?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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