Individual
ASHLEI PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 PEMBERTON BLVD, BROWNS MILLS, NJ 08015-1160
(217) 317-0326
Mailing address
307 PEMBERTON BLVD, BROWNS MILLS, NJ 08015-1160
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00303800
NJ
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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