NPI 1003204876
Delbert Dewayne Porter, COTA
Practice location
- Address
- 787 Crutch Creek Ln, Dungannon, VA 24245-3950
- Phone
- (276) 467-1164
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1003204876
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Jan 2015
- Record last updated
- 2 Jan 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.