CARLY PORTER

PARAGOULD, AR
NPI1992113609
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT-A878)
Enumeration Date2014-07-25
Last Update Date2024-06-28
Business Address
CARLY PORTER COTA/L
1501 W COURT ST
PARAGOULD, AR 72450-4025
Phone number: 870-240-6247
Mailing Address
CARLY PORTER COTA/L
783 GREENE 632 RD
PARAGOULD, AR 72450-8525
Phone number: 870-240-6247