Individual
MRS. TONYA R PORTER-PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 S GRACE ST, ROCKY MOUNT, NC 27804-5602
(252) 366-2696
Mailing address
1313 ANNE ST, ROCKY MOUNT, NC 27801-3532
(252) 366-2696
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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