Individual
ANNA ELIZABETH PORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4804 W RED MAPLE CT, ROGERS, AR 72758-2201
(479) 466-7136
Mailing address
4804 W RED MAPLE CT, ROGERS, AR 72758-2201
(479) 466-7136
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1857
AR
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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