Individual
MARGARET PORCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2007 SMIZER STATION RD, VALLEY PARK, MO 63088-2097
(636) 861-8558
Mailing address
PO BOX 672, FENTON, MO 63026-0672
(636) 861-8558
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00996
MO
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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