Individual
ELIZABETH KAY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9730 PRAIRIE LAKES BLVD E, NOBLESVILLE, IN 46060-4766
(317) 770-3644
Mailing address
5917 N OXFORD ST, INDIANAPOLIS, IN 46220-2921
(317) 919-7497
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005043A
IN
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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