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1255848990
JAIMIE LYNN PORTER
FOREST HILLS, NY
NPI
1255848990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Additional Taxonomies
225X00000X Occupational Therapist
Enumeration Date
2018-01-03
Last Update Date
2018-01-03
Business Address
JAIMIE LYNN PORTER OTR/L CBIS
7000 AUSTIN ST STE 200
FOREST HILLS, NY 11375-4739
Phone number: 718-762-7633
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Mailing Address
JAIMIE LYNN PORTER OTR/L CBIS
7000 AUSTIN ST STE 200
FOREST HILLS, NY 11375-4739
Phone number:
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