Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN GABRIEL PORTA, OTR/L
Active Sole ProprietorJUSTIN GABRIEL PORTA, OTR/L is a Pediatric Occupational Therapist healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1124332267 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1124332267
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 30, 2010 (16.076731898423 yrs)
- Last Updated
- Jul 30, 2010
- License
-
OTR1632 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
538 N MONROE STATION DRFAYETTEVILLE, AR, 727047038Browse AR providers · Browse ZIP 72704
- Phone
- 4794667134
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Other Pediatric Occupational Therapist Providers in FAYETTEVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| MRS. ELLEN K BRUCE | OTR/L | 1568435238 |
| LYNETTE MENNA | OTR/L | 1932159944 |
| MRS. LIBBY S GIBSON | — | 1336258573 |
| MRS. DEBBIE ROYAL | OTR L | 1306955489 |
| MS. ASHLEY H MILLER | — | 1639280217 |
| MRS. MELINDA E LUNN | OTRL | 1225149768 |
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.