| NPI | 1164794897 |
|---|---|
| Professional Name | JEANINE PATRICIA PORTLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IN 32000437A) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |