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Individual

MRS. CARRIE LORRAINE PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L, CLT

Contact information

Practice address
12032 BUSINESS BLVD STE A, EAGLE RIVER, AK 99577-7725
(907) 921-7384
(844) 605-1820
Mailing address
PO BOX 672075, CHUGIAK, AK 99567-2075
(907) 921-7384
(844) 605-1820

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
192444
AK

Other

Enumeration date
03/21/2022
Last updated
03/03/2026
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