Individual
DR. THEODORE PHILLIP PORADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., DPT
Contact information
Practice address
811 WILLIAM HILTON PKWY, HILTON HEAD ISLAND, SC 29928-3442
(843) 842-3222
(843) 842-3202
Mailing address
811 WILLIAM HILTON PKWY, HILTON HEAD ISLAND, SC 29928-3442
(843) 842-3222
(843) 842-3202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5104
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00408074
RAILROAD MEDICARE NUMBER
SC
Enumeration date
06/22/2006
Last updated
04/24/2008
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