Individual
MRS. JOANN GREENE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
389 COUNTY ST, NEW BEDFORD, MA 02740-4995
(508) 997-1570
Mailing address
PO BOX 1166, 15 HAMMOND ST, MATTAPOISETT, MA 02739-0408
(508) 758-6968
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
AH-6049
MA
Other
Enumeration date
03/29/2007
Last updated
02/01/2012
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