Individual
MRS. JESSICA R PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT OTR/L
Contact information
Practice address
193 BELLE VALLEY DR, NASHVILLE, TN 37209-5151
(337) 718-1265
Mailing address
193 BELLE VALLEY DR, NASHVILLE, TN 37209-5151
(337) 718-1265
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5082
TN
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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