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Organization
PORTAL PHYSICAL THERAPY
Active
Organization
PORTAL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR CLARK DPT (OWNER/PHYSICAL THERAPIST)
(757) 544-8312
Entity
Organization
Contact information
Practice address
2460 E LITTLE CREEK RD UNIT B, NORFOLK, VA 23518-3231
(757) 544-8312
Mailing address
3536 GAMAGE DRIVE, NORFOLK, VA, USA, NORFOLK, VA 23518
(757) 544-8312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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