Individual
RUSSELL H. PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2496 MUIR WOODS DR WEST, MOBILE, AL 36693
(251) 232-0009
(251) 661-2357
Mailing address
2496 MUIR WOODS DR WEST, MOBILE, AL 36693
(251) 232-0009
(251) 661-2357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH924
AL
Other
Enumeration date
10/02/2006
Last updated
06/25/2009
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