Individual
DEBRA R PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 OCEAN ST, SOUTH PORTLAND, ME 04106-2827
(207) 216-1016
Mailing address
102 SOUTH ST STE 2, BIDDEFORD, ME 04005-4443
(207) 216-1016
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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