Individual
MASON G PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2204 ROBIN AVE, HAMMOND, LA 70403-5751
(985) 542-7878
(985) 542-4396
Mailing address
2204 ROBIN AVE, HAMMOND, LA 70403-5751
(985) 542-7878
(985) 542-4396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09399
LA
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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