Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DELBERT DEWAYNE PORTER, COTA
Active Sole ProprietorDELBERT DEWAYNE PORTER, COTA is a Occupational Therapy Assistant healthcare provider located in DUNGANNON, Virginia. NPI 1003204876 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · DUNGANNON, VA
Registration Details
- NPI Number
- 1003204876
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 2, 2015 (11.628003134498 yrs)
- Last Updated
- Jan 2, 2015
- License
-
0131000167 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
787 CRUTCH CREEK LNDUNGANNON, VA, 242453950Browse VA providers · Browse ZIP 24245
- Phone
- 2764671164
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.