Individual
BRIAN HOWARD PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3906 CRESTMONT AVE, ERIE, PA 16508-3301
(814) 403-9390
Mailing address
3906 CRESTMONT AVE, ERIE, PA 16508-3301
(814) 403-9390
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE007906
PA
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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