Juana Lourdes Porras
Occupational Therapist - Neurorehabilitation
17930 Hercules St
Hesperia
, California 92345-5454
Juana Lourdes Porras
Occupational Therapist - Neurorehabilitation
17930 Hercules St
Hesperia
, California 92345-5454
(818) 818-4667
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About
Features
Specialties
- Occupational Therapist - Neurorehabilitation
Languages spoken
- English
Location
First Address
- Juana Lourdes Porras
- 17930 Hercules St
- Hesperia, CA
- Zip : 92345-5454
- Phone : (818) 818-4667
Second Address
- Juana Lourdes Porras
- 17930 Hercules St
- Hesperia, CA
- Zip : 92345-5454
- Phone : (818) 818-4667
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 87454 | CA |
National Provider Identifier
| NPI | 1417625823 |
|---|---|
| Provider Name | Juana Lourdes Porras |
| First Address | Hesperia, CA 92345-5454 |
| Second Address | Hesperia, CA 92345-5454 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2021 |
| Last Update Date | 01/09/2021 |
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.