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1295481638
MYKALA PORTER
WESTAMPTON, NJ
NPI
1295481638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NJ 46TR01043900)
Enumeration Date
2022-02-24
Last Update Date
2024-06-06
Business Address
MYKALA PORTER OTR/L
20 PIONEER BLVD
WESTAMPTON, NJ 08060-3824
Phone number: 609-261-5600
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Mailing Address
MYKALA PORTER OTR/L
80 VAN BUREN RD APT 11
VOORHEES, NJ 08043-2335
Phone number: 908-477-0876
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