Individual
MS. PAM A PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1207 MAIN ST, DAPHNE, AL 36526-4420
(251) 621-6865
(251) 621-6891
Mailing address
44 RAMEY LN, FAIRHOPE, AL 36532-2078
(251) 401-0950
(251) 621-6891
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PTH1459
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51033114
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/25/2006
Last updated
08/05/2025
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