Individual
DARIUS PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3912 10TH ST SE STE 101, PUYALLUP, WA 98374-2188
(253) 848-4700
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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