GLENN PORTER

SAN ANTONIO, TX
NPI1962634931
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TX  113201)
Enumeration Date2009-08-10
Last Update Date2015-12-16
Business Address
-- GLENN PORTER OTR
10323 SH 151
SAN ANTONIO, TX 78251-4557
Phone number: 210-581-5306
Mailing Address
-- GLENN PORTER OTR
2514 CONCAN ST
SAN ANTONIO, TX 78251-1708
Phone number:
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