Individual
DONALD P ORTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-7374
Mailing address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-7374
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018023546
MO
Other
Enumeration date
06/25/2018
Last updated
07/22/2025
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