Most Relevant Information
Provider Data
| NPI Number: | 1003639857 |
| Provider Name: | PORSCHA LORRAINE THORNTON |
| Entity Type: | Individual |
| Taxonomy Code: | 225800000X |
| Specialty: | Recreation Therapist |
| License Number: | 57875 |
Most Important Dates
| Enumeration Date: | 10/31/2024 |
| Last Updated: | 10/31/2024 |
Provider Practice Location
1001 N 11TH ST
MONROE
LA
712015633
Practice Location Phone/Fax
| Phone: | 3183042448 |
| Fax: |
Provider Mailing Location
15401 CHENAL PKWY APT 2415
LITTLE ROCK
AR
722112551
Provider Mailing Phone/Fax
| Phone: | 5015636211 |
| Fax: |