Search › Arkansas › 225XP0200X
Justin Porta, OTR/L
NPI 1124332267 · on the registry since 2010 · sole proprietor
Practice
- Address
- 538 N Monroe Station Dr
Fayetteville, AR 72704 - Phone
- (479) 466-7134
Registry record
- Primary taxonomy
- 225XP0200X
225XP0200X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-07-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas