Individual
THOMAS PORCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
749 BEECHWOOD LN, ABILENE, TX 79603-5623
(325) 701-4313
Mailing address
749 BEECHWOOD LN, ABILENE, TX 79603-5623
(325) 701-4313
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208082
TX
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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