Individual
MRS. MERIDITH LYNN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R./L.
Contact information
Practice address
2109 OTOOLE AVE STE M, SAN JOSE, CA 95131-1338
(408) 573-7720
(408) 753-9555
Mailing address
2109 OTOOLE AVE STE M, SAN JOSE, CA 95131-1338
(408) 573-7720
(408) 753-9555
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12575
CA
Other
Enumeration date
05/11/2012
Last updated
01/27/2026
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