Individual
EILEEN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
2139 CHARLES DEWITT WAY, ALPINE, CA 91901-3063
(619) 889-5829
Mailing address
2139 CHARLES DEWITT WAY, ALPINE, CA 91901-3063
(619) 889-5829
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 6338
CA
Other
Enumeration date
01/08/2007
Last updated
10/02/2014
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