Individual
MR. IRA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
21 REDWOOD TRACK LN, OCALA, FL 34472-1954
(954) 294-2938
Mailing address
21 REDWOOD TRACK LN, OCALA, FL 34472-1954
(954) 294-2938
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA6178
FL
Other
Enumeration date
11/09/2017
Last updated
08/25/2022
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