SearchIllinois225X00000X

Daniel Porter, OTR

NPI 1679861710 · on the registry since 2011 · sole proprietor

Practice

Address
3905 W Ernestine Dr
Suite B
Marion, IL 62959
Phone
(618) 993-6237
Organisation at this address
Heartland Spine, Llc
Southern Illinois Pain Management
Occupational Performance And Rehab, Pc
Performance Chiropractic Of Southern Illinois Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
225X00000X
225X00000X
Also registered as
225X00000X
Licence states on file
IL, KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-12-13

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 Illinois