Individual
MRS. JOAN E.R. PORTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1309 ALLSTON WAY, BERKELEY, CA 94702-1920
(510) 848-8774
(510) 848-2438
Mailing address
1309 ALLSTON WAY, BERKELEY, CA 94702-1920
(510) 848-8774
(510) 848-2438
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2131
CA
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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