MS. Jennafer Marie Porter, C.O,T.A

NPI #1346421500 in Tyler, Texas

Provider Information

NPI Number
1346421500
Entity Type
Individual
Name
MS. Jennafer Marie Porter, C.O,T.A
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
C.O,T.A
Enumeration Date
Nov 16, 2007
Last Updated
Nov 16, 2007

Practice Location

Address
900 S BAXTER AVE
City
Tyler
State
Texas
ZIP Code
75701-2209
Phone
(903) 363-5793

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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