Individual
NANCY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1257 MARYWOOD LN, RICHMOND, VA 23229-6059
(804) 741-0612
Mailing address
2500 OLD HEARTH CT, RICHMOND, VA 23233-1510
(804) 360-2112
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001959
VA
Other
Enumeration date
03/13/2007
Last updated
04/24/2009
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