Individual
ALEXANDER JAMES PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
66 MILLER DR, SUITE 102, NORTH AURORA, IL 60542-5143
(630) 907-9165
(630) 907-9195
Mailing address
66 MILLER DR, SUITE 102, NORTH AURORA, IL 60542-5143
(630) 907-9165
(630) 907-9195
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.011260
IL
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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