Individual
MELISSA PORCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 DAGNY CT, TROUT CREEK, MT 59874-9417
(509) 521-7983
Mailing address
33 DAGNY CT, TROUT CREEK, MT 59874-9417
(509) 521-7983
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-9521
MT
Other
Enumeration date
12/19/2012
Last updated
01/02/2026
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