Individual
BRANDYE MONIQUE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1028 N VICTORY DR # 2112, HOUSTON, TX 77088-7946
(832) 853-0087
Mailing address
1028 N VICTORY DR, HOUSTON, TX 77088-7946
(832) 853-0097
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214660
TX
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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