Jennafer Marie Porter C.O,T.A

NPI 1346421500 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1346421500
Gender Female
Enumeration Date 11/16/2007
Last Updated 11/16/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
900 S BAXTER AVE
TYLER TX, 75701-2209, US
Phone (903) 363-5793
Fax
Business Location
409 TENAHA ST
CENTER TX, 75935-3431, US
Phone (936) 591-5472
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State
License Number
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According to our database, Ms. Jennafer Marie Porter C.O,T.A NPI is 1346421500, taxonomy code is 224Z00000X Jennafer Marie Porter C.O,T.A physically located at 900 S Baxter Ave, Tyler TX, 75701-2209. NPI Number Jennafer Marie Porter C.O,T.A has the Individual type.

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1346421500 NPI number is provided on an as is basis without warranty of any kind. 1346421500 is maintained by the National Plan & Provider Enumeration System. The contents of Jennafer Marie Porter C.O,T.A are for informational purposes only.