Individual
KRISTA PORTEOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-7111
Mailing address
15947 HIGHWAY 216, BROOKWOOD, AL 35444-3714
(205) 242-9806
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4692
AL
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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