Individual
MRS. HEATHER A. PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1945 N GREENFIELD AVE, CLOVIS, CA 93619-7420
(559) 240-0310
Mailing address
1945 N GREENFIELD AVE, CLOVIS, CA 93619-7420
(559) 240-0310
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT25912
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT25912
CA. PT LICENSE
CA
Enumeration date
11/01/2006
Last updated
12/05/2012
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