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1710213137
LESLIE DIANE PORTER
LITTLE ROCK, AR
NPI
1710213137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: AR OTR2286)
Enumeration Date
2009-10-19
Last Update Date
2009-10-19
Business Address
-- LESLIE DIANE PORTER OTR/L
8023 INTERSTATE 30
LITTLE ROCK, AR 72209-4841
Phone number: 501-374-0330
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Mailing Address
-- LESLIE DIANE PORTER OTR/L
1624 N POLK ST
LITTLE ROCK, AR 72207-5328
Phone number: 501-786-2800
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