Individual
MS. JENNIFER ANNE PORTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4709 KIRKWOOD HWY, WILMINGTON, DE 19808-5007
(302) 998-9880
(302) 998-7498
Mailing address
80 TIVERTON CIR, NEWARK, DE 19702-1445
(302) 453-4408
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U2-0000573
DE
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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