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Individual

DAKOTA PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1320 HAMPTON AVENUE EXT STE 11B, GREENVILLE, SC 29601-1168
(864) 900-2975
Mailing address
201 SMYTHE ST APT 234, GREENVILLE, SC 29611-6347
(407) 820-6695

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12320
SC

Other

Enumeration date
05/08/2024
Last updated
05/13/2024
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