# WALTER PORTER JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1518697812
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | CO | — |
| 171400000X | Health & Wellness Coach | — | CO | — |
| 174400000X | Specialist | — | CO | — |
| 175F00000X | Naturopath | — | CO | — |
| 225400000X | Rehabilitation Practitioner | — | CO | — |
| 225XN1300X | Neurorehabilitation Occupational Therapist | — | CO | Yes |

## Other

- **Enumeration date:** 06/10/2022
- **Last updated:** 06/07/2023