Individual
KATHLEEN MARIE PORADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
38 SHERIDAN PARK CIR, STE E, BLUFFTON, SC 29910-7022
(843) 815-5628
(843) 815-5637
Mailing address
38 SHERIDAN PARK CIR, STE E, BLUFFTON, SC 29910-7022
(843) 815-5628
(843) 815-5637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5112
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P0043707
RAILROAD NUMBER
SC
Enumeration date
07/03/2006
Last updated
04/10/2008
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