Individual
KESHA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 DUPONT DR NW, AIKEN, SC 29801-4089
(781) 606-2512
Mailing address
4188 CANDLEBERRY GDN, NORTH AUGUSTA, SC 29860-7201
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
12072
SC
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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