Individual
JONI PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
302 N FRANKLIN ST, GREENSBURG, IN 47240-1737
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
99055969A
IN
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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