Daniel Lee Porter, OTR

NPI #1679861710 in Marion, Illinois

Provider Information

NPI Number
1679861710
Entity Type
Individual
Name
Daniel Lee Porter, OTR
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
OTR
Enumeration Date
Jul 11, 2011
Last Updated
Dec 13, 2011

Practice Location

Address
3905 W ERNESTINE DR
Address 2
SUITE B
City
Marion
ZIP Code
62959-5800
Phone
(618) 993-6237

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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