Teresa Irene Porter, OTA-01110

NPI #1447514567 in Norwalk, Ohio

Provider Information

NPI Number: 1447514567
Entity Type: Individual
Name: Teresa Irene Porter, OTA-01110
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: OTA-01110
Enumeration Date: Jul 3, 2012
Last Updated: Jul 3, 2012

Practice Location

Address: 66 NORWOOD AVE
City: Norwalk
State: Ohio
ZIP Code: 44857-2337
Phone: (440) 396-6085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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