Individual
JENNIFER LEE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
301 N HIGHWAY 190 STE C2, COVINGTON, LA 70433-5057
(985) 773-1500
Mailing address
1000 OCHSNER BLVD, COVINGTON, LA 70433-8107
(985) 875-2777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09398
LA
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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