Individual
ALYSSA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
522 GLENWOOD AVE, NEW BOSTON, OH 45662-5505
(740) 354-7761
Mailing address
130 CYNTHIA ANN DR, WHEELERSBURG, OH 45694-8122
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA008478
OH
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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