Individual
ERYN ELIZABETH PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 N CLINTON ST, DEFIANCE, OH 43512-1610
(419) 784-4010
Mailing address
661 CHIPPEWA DR, DEFIANCE, OH 43512-3366
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OH
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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