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1003216367
ADAM PORTER
SALT LAKE CITY, UT
NPI
1003216367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 9099793-4201)
Enumeration Date
2014-08-23
Last Update Date
2021-12-01
Business Address
ADAM PORTER MOTR/L
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-585-2119
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Mailing Address
ADAM PORTER MOTR/L
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number:
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