MRS. Bailey Leigh Porter, MSOT, OTR/L
NPI #1124530563 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1124530563
- Entity Type
- Individual
- Name
- MRS. Bailey Leigh Porter, MSOT, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Credential
- MSOT, OTR/L
- Enumeration Date
- Oct 25, 2017
- Last Updated
- Mar 17, 2018
Practice Location
- Address
- 2840 CHANNING WAY STE 100
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7529
- Phone
- (208) 529-7924
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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