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Bailey Leigh Porter, MSOT, OTR/L

Occupational Therapist in Idaho Falls, ID. Individual provider (NPI-1).

NPI number1124530563
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1124530563
Entity type
Individual (NPI-1)
Name
Mrs. Bailey Leigh Porter
Credential
MSOT, OTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 25, 2017
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT-1288IDYes

Practice location

2840 Channing Way Ste 100
Idaho Falls, ID 83404-7529

Phone 208-529-7924

Mailing address

2840 Channing Way Ste 100
Idaho Falls, ID 83404-7529

Other practice locations

2280 E 25th St
Idaho Falls, ID 83404-7542

Phone 208-227-2155

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