Individual
MISS JENNIFER PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
155 S ADAMS AVE, CAMDEN, AR 71701-4031
(870) 498-4357
Mailing address
1815 WOODWARD, MAGNOLIA, AR 71753-2132
(870) 904-6581
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2107
AR
Other
Enumeration date
10/01/2007
Last updated
11/19/2024
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