Nathan E. Porch, O.T.
NPI #1316960982 in East Peoria, Illinois
Provider Information
- NPI Number
- 1316960982
- Entity Type
- Individual
- Name
- Nathan E. Porch, O.T.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- O.T.
- Enumeration Date
- Jul 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 520 HIGH POINT LN
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-9327
- Phone
- (309) 694-7403
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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