Individual
REBECCA F PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
2797 FLATLICK RD, MT WASHINGTON, KY 40047-7403
(502) 435-5588
(502) 242-3081
Mailing address
10208 WESTWEGO PL, LOUISVILLE, KY 40299-4056
(502) 435-5588
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R2550
KY
Other
Enumeration date
05/02/2007
Last updated
10/14/2016
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