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Leslie Porter, INC

Occupational Therapist, Pediatrics in Little Rock, AR. Organization (NPI-2).

NPI number1316643299
StatusActive
Last updated in NPPESFeb 2, 2023

Details

NPI
1316643299
Entity type
Organization (NPI-2)
Legal business name
Leslie Porter, INC
Organization subpart
No
Enumeration date
Feb 2, 2023
Certification date
Feb 2, 2023
Last updated
Feb 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0200X Occupational Therapist, Pediatrics––Yes

Practice location

1624 N Polk St
Little Rock, AR 72207-5328

Phone 501-786-2800

Mailing address

1624 N Polk St
Little Rock, AR 72207-5328

Phone 501-786-2800

Authorized official

Leslie Diane Porter
President
5017862800

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