Individual
JESSICA MICHELLE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
610 S POLK ST, PAPILLION, NE 68046-2548
(402) 339-7700
Mailing address
4504 MARK ST, PAPILLION, NE 68133-2318
(913) 963-9517
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2570
NE
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/03/2021
Last updated
02/05/2024
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