Individual
MRS. NICOLE ANN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
122 LEONARDWOOD DR, FRANKFORT, KY 40601-4278
(502) 871-4004
Mailing address
122 LEONARDWOOD DR, FRANKFORT, KY 40601-4278
(502) 871-4004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
263659
KY
Other
Enumeration date
02/27/2021
Last updated
02/27/2021
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