Individual
GLENN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
10323 SH 151, SAN ANTONIO, TX 78251-4557
(210) 581-5306
Mailing address
2514 CONCAN ST, SAN ANTONIO, TX 78251-1708
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113201
TX
Other
Enumeration date
08/10/2009
Last updated
12/16/2015
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