Individual
JASON P PORTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
5401 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2026
(405) 384-5250
Mailing address
5401 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2026
(405) 384-5250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5868
OK
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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