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1336777846
BRENT WILLIAM PORTER
HUNTERSVILLE, NC
NPI
1336777846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 8994)
Enumeration Date
2020-03-30
Last Update Date
2020-03-30
Business Address
Mr. BRENT WILLIAM PORTER OTR/L
13835 BOREN ST
HUNTERSVILLE, NC 28078-6476
Phone number: 704-912-2222
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Mailing Address
Mr. BRENT WILLIAM PORTER OTR/L
14311 REESE BLVD W STE A2
HUNTERSVILLE, NC 28078-7955
Phone number: 704-980-0680
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