Individual
MRS. EBONY DELSHUN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 PADDOCK PLACE DR, MT JULIET, TN 37122-6605
(214) 364-6155
Mailing address
PO BOX 523, MOUNT JULIET, TN 37121-0523
(214) 364-6155
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4379
TN
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/26/2007
Last updated
08/14/2025
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