Individual
HEATHER PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10900 73RD AVE N STE 140, MAPLE GROVE, MN 55369-5400
(763) 315-1296
Mailing address
4801 W 81ST ST STE 103, MINNEAPOLIS, MN 55437-1111
(952) 924-0199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
01/20/2025
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