Individual
MS. MARY CATHERINE CUNNINGHAM-PORTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2625 EXECUTIVE PARK DR, SUITE 3, WESTON, FL 33331-3634
(954) 385-4696
(954) 385-8385
Mailing address
2625 EXECUTIVE PARK DR, SUITE 3, WESTON, FL 33331-3634
(954) 385-4696
(954) 385-8385
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
OT11830
FL
225XM0800X
Mental Health Occupational Therapist
OT11830
FL
225XN1300X
Neurorehabilitation Occupational Therapist
OT11830
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT11830
FL
Other
Enumeration date
08/19/2009
Last updated
08/28/2009
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