Kristie Lynne Porter, OTR

NPI #1114114998 in Belleville, Illinois

Provider Information

NPI Number
1114114998
Entity Type
Individual
Name
Kristie Lynne Porter, OTR
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
OTR
Enumeration Date
Sep 26, 2007
Last Updated
Sep 26, 2007

Practice Location

Address
106 LINCOLN PLACE CT
ZIP Code
62221-5884
Phone
(618) 236-7588

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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