Delbert Dewayne Porter
Occupational Therapy Assistant
787 Crutch Creek Ln
Dungannon
, Virginia 24245-3950
Delbert Dewayne Porter
Occupational Therapy Assistant
787 Crutch Creek Ln
Dungannon
, Virginia 24245-3950
(276) 467-1164
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Delbert Dewayne Porter
- 787 Crutch Creek Ln
- Dungannon, VA
- Zip : 24245-3950
- Phone : (276) 467-1164
Second Address
- Delbert Dewayne Porter
- 787 Crutch Creek Ln
- Dungannon, VA
- Zip : 24245-3950
- Phone : (276) 467-1164
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 0131000167 | VA |
National Provider Identifier
| NPI | 1003204876 |
|---|---|
| Provider Name | Delbert Dewayne Porter |
| First Address | Dungannon, VA 24245-3950 |
| Second Address | Dungannon, VA 24245-3950 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/01/2015 |
| Last Update Date | 02/01/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.