Individual
KRISTOPHER BOWEN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8250 GREENSBORO DR, MC LEAN, VA 22102-4902
(703) 388-0288
(703) 388-0290
Mailing address
PO BOX 1769, MIDDLEBURG, VA 20118-1769
(540) 687-8181
(540) 687-8256
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205393
VA
Other
Enumeration date
12/29/2008
Last updated
07/09/2013
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