Organization
PORTER PELVIC PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER G PORTER PT, DPT (OWNER)
(386) 227-6077
Entity
Organization
Contact information
Practice address
106 OLD CARRIAGE RD, PONCE INLET, FL 32127-6910
(386) 227-6077
Mailing address
106 OLD CARRIAGE RD, PONCE INLET, FL 32127-6910
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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