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Individual

GILLIAN PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
250 N LITCHFIELD RD STE 155, GOODYEAR, AZ 85338-1367
(623) 882-9787
(623) 882-9791
Mailing address
250 N LITCHFIELD RD STE 155, GOODYEAR, AZ 85338-1367
(623) 882-9787
(623) 882-9791

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11596
AZ

Other

Enumeration date
04/23/2008
Last updated
03/08/2016
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