Amy Lizette Porter
Amy Lizette Porter is a Developmental Therapist in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2019.
- Licensed in
- IL
- In the registry since
- 2019
Practice location Address checks out
1070 W Olive StDecatur, IL 62526-3761
Phone: (217) 454-2096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X · Licence P63601296738 (IL) |
|---|
Record details
| NPI number | 1861057739 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 7, 2019 |
| Last updated in NPPES | May 7, 2019 |
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