Individual
DR. SAMANTHA R PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, LMT, CMTPT
Contact information
Practice address
10407 CLAYTON RD, FRONTENAC, MO 63131-2909
(314) 432-6103
Mailing address
9 STATESMAN CT, O FALLON, MO 63368-8502
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2021030538
MO
Other
Enumeration date
08/01/2021
Last updated
08/01/2021
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