Individual
MRS. JANNA PORKHOVNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
15 WHITNEY ST, CHESTNUT HILL, MA 02467-2936
(617) 424-4760
Mailing address
15 WHITNEY ST, CHESTNUT HILL, MA 02467-2936
(617) 424-4760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11475
MA
Other
Enumeration date
07/13/2009
Last updated
05/07/2010
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