Individual
MR. COLLIN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8000 YORK RD, TOWSON, MD 21252-0001
(410) 704-2000
Mailing address
8000 YORK RD, TOWSON, MD 21252-0001
(410) 702-4000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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