Individual
LORI PORTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 WEISS RD, SAINT PETERS, MO 63376-7741
(636) 851-6100
Mailing address
1204 LEIGHTON ESTATES CT, O FALLON, MO 63368-8408
(919) 906-7285
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2022034047
MO
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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