EBONY DELSHUN PORTER

MT JULIET, TN
NPI1467672816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TN  4379)
Additional Taxonomies253Z00000X In Home Supportive Care
Enumeration Date2007-04-26
Last Update Date2025-08-14
Business Address
Mrs. EBONY DELSHUN PORTER
126 PADDOCK PLACE DR
MT JULIET, TN 37122-6605
Phone number: 214-364-6155
Mailing Address
Mrs. EBONY DELSHUN PORTER
PO BOX 523
MOUNT JULIET, TN 37121-0523
Phone number: 214-364-6155