IndividualActive
Georvonna Porter, OTD OTR/L
NPI 1801658315 · Pediatric Occupational Therapist · Little Rock, AR
Provider details
- NPI number
- 1801658315
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTD OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- OTR3903
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2 Innwood Cir Ste a
Little Rock, AR 72211-2490
Phone: (501) 993-7171
Approximate (ZIP-level) locationGet directions
Mailing address
2 Innwood Cir Ste a
Little Rock, AR 72211-2490
Registry dates
- Enumerated
- 2024-01-29
- Last updated
- 2024-01-29
- Certified
- 2024-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.