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Contact Information

ELIZABETH C PORTER, OTR/L
210 TRADITIONS AVE
BOWLING GREEN, KY42103
 Phone: 606-303-8634
 Fax: 317-520-8200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ELIZABETH C PORTER · (Female)

NPI # 1083981559
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 11/28/2011
Last updated 07/01/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 132707
  • KY License # RO183
  • KY Medicaid 7100332170
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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