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Individual

BETHANY MORGAN PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
8900 KEYSTONE XING, SUITE 600, INDIANAPOLIS, IN 46240-7670
(317) 218-0654
(317) 218-0684
Mailing address
8900 KEYSTONE XING, SUITE 600, INDIANAPOLIS, IN 46240-7670
(317) 218-0654
(317) 218-0684

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001501A
IN

Other

Enumeration date
02/07/2009
Last updated
02/07/2009
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