Individual
KENDRA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2405 PALMER CIR STE 100, NORMAN, OK 73069-6351
(405) 561-7928
(405) 310-9944
Mailing address
2405 PALMER CIR STE 100, NORMAN, OK 73069-6351
(405) 561-7928
(405) 310-9944
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2459
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200956780
—
OK
Enumeration date
08/01/2022
Last updated
08/01/2022
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