Individual
KRISTIAN MARIE PORCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
3947 PROMENADE SQUARE DR APT 4014, ORLANDO, FL 32837-3373
(954) 348-2392
Mailing address
7345 NW 1ST MNR, PLANTATION, FL 33317-2271
(352) 613-6615
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 13339
FL
Other
Enumeration date
01/09/2009
Last updated
08/25/2019
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