Individual
MRS. KATHLEEN SUSAN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
9023 SAINT ANDREWS DR, SEMINOLE, FL 33777-4521
(727) 393-8154
Mailing address
9023 SAINT ANDREWS DR, SEMINOLE, FL 33777-4521
(727) 393-8154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1219
FL
Other
Enumeration date
05/19/2007
Last updated
07/08/2007
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