Individual
MACY ELIZABETH PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
917 PENNSYLVANIA ST NE, ALBUQUERQUE, NM 87110-7403
(505) 750-1344
(505) 581-3310
Mailing address
917 PENNSYLVANIA ST NE, ALBUQUERQUE, NM 87110-7403
(505) 750-1344
(505) 581-3310
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4147
NM
Other
Enumeration date
06/28/2022
Last updated
01/23/2026
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