Individual
AMY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L CLT
Contact information
Practice address
20545 W 108TH ST, OLATHE, KS 66061-3283
(913) 522-0963
Mailing address
20545 W 108TH ST, OLATHE, KS 66061-3283
(913) 522-0963
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-02654
KS
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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