Individual
AUDRA ANN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1019 PALM CT, JEANNETTE, PA 15644-4633
(724) 875-9353
Mailing address
1019 PALM CT, JEANNETTE, PA 15644-4633
(724) 875-9353
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002791
PA
Other
Enumeration date
07/21/2014
Last updated
09/05/2023
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