Individual
KEVIN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
636 11TH ST, GAFFNEY, SC 29340-4836
(864) 491-7533
Mailing address
636 11TH ST, GAFFNEY, SC 29340-4836
(864) 491-7533
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1695
SC
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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