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Individual
REBECCA PORTER
Active
Individual
REBECCA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0004725
CO
225X00000X
Occupational Therapist
117311
TX
225X00000X
Occupational Therapist
Primary
1644
ID
225X00000X
Occupational Therapist
4096
AL
225X00000X
Occupational Therapist
4288
SC
225X00000X
Occupational Therapist
5201009032
MI
225X00000X
Occupational Therapist
6630
AZ
225X00000X
Occupational Therapist
OT006248
GA
Other
Enumeration date
12/06/2015
Last updated
10/25/2019
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