Individual
CRICKET PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1302 FRANKLIN AVE UNIT L500, NORMAL, IL 61761-3551
(309) 452-0069
Mailing address
2000 JACOBSSEN DR, NORMAL, IL 61761-6277
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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