Amanda Jo Porter, OTR/L
NPI #1639687395 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1639687395
- Entity Type
- Individual
- Name
- Amanda Jo Porter, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- OTR/L
- Enumeration Date
- Jan 16, 2018
- Last Updated
- Jan 16, 2018
Practice Location
- Address
- 5 DOCTORS PARK RD
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-6224
- Phone
- (618) 242-1064
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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