Individual
KATHERINE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CNIM
Contact information
Practice address
1055 FOREST HILL AVE SE, GRAND RAPIDS, MI 49546-3626
(616) 942-1990
Mailing address
1055 FOREST HILL AVE SE, GRAND RAPIDS, MI 49546-3626
(616) 942-1990
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008944
MI
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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