Individual
ANNA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1420 9TH ST E STE 401, WEST FARGO, ND 58078-3381
(701) 364-2739
Mailing address
1420 9TH ST E STE 401, WEST FARGO, ND 58078-3381
(701) 364-2739
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
225100000X
Physical Therapist
10128
MN
225100000X
Physical Therapist
Primary
1796
ND
Other
Enumeration date
09/29/2014
Last updated
09/27/2021
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