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1548757198
KELLY PORTERFIELD
LOS ANGELES, CA
NPI
1548757198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 9828)
Enumeration Date
2018-04-19
Last Update Date
2018-04-19
Business Address
KELLY PORTERFIELD OTR/L
580 S SAN VICENTE BLVD
LOS ANGELES, CA 90048-4621
Phone number: 323-782-1513
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Mailing Address
KELLY PORTERFIELD OTR/L
1416 VIA MATEO
PALOS VERDES ESTATES, CA 90274-2149
Phone number:
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