Individual
DR. JEFF PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
809 S CHUGACH ST, SUITE 1, PALMER, AK 99645-6665
(907) 746-4373
Mailing address
9910 E TRENNIE LOOP, APT O4, PALMER, AK 99645-9170
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
113308
AK
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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