Individual
MR. BRENT WILLIAM PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
9624 BAILEY RD STE 273, CORNELIUS, NC 28031-6120
(803) 329-9500
(803) 228-0101
Mailing address
14311 REESE BLVD W STE A2, HUNTERSVILLE, NC 28078-7955
(704) 980-0680
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
6823
SC
225X00000X
Occupational Therapist
Primary
8994
NC
Other
Enumeration date
03/30/2020
Last updated
03/03/2025
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