Most Relevant Information
Provider Data
| NPI Number: | 1003216367 |
| Provider Name: | ADAM PORTER MOTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 9099793-4201 |
Most Important Dates
| Enumeration Date: | 08/23/2014 |
| Last Updated: | 12/01/2021 |
Provider Practice Location
50 N MEDICAL DR
SALT LAKE CITY
UT
841320001
Practice Location Phone/Fax
| Phone: | 8015852119 |
| Fax: |
Provider Mailing Location
50 N MEDICAL DR
SALT LAKE CITY
UT
841320001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |