Justin Gabriel Porta, OTR/L
NPI #1124332267 in Fayetteville, Arkansas
Provider Information
- NPI Number
- 1124332267
- Entity Type
- Individual
- Name
- Justin Gabriel Porta, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist - Pediatrics
- Credential
- OTR/L
- Enumeration Date
- Jul 30, 2010
- Last Updated
- Jul 30, 2010
Practice Location
- Address
- 538 N MONROE STATION DR
- City
- Fayetteville
- State
- Arkansas
- ZIP Code
- 72704-7038
- Phone
- (479) 466-7134
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Pediatrics — Pediatrics |
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