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1609561588
SAMUEL JOSEPH PORTER
MEMPHIS, TN
NPI
1609561588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TN 3001)
Enumeration Date
2023-04-07
Last Update Date
2023-04-07
Business Address
Mr. SAMUEL JOSEPH PORTER COTA/L
1265 UNION AVE FL 10
MEMPHIS, TN 38104-3415
Phone number: 901-546-2400
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Mailing Address
Mr. SAMUEL JOSEPH PORTER COTA/L
5671 CHAPMAN AVE
MEMPHIS, TN 38119-7107
Phone number: 901-378-2932
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