Individual
VICTORIA MATSUYO PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 ORANGEFAIR MALL, FULLERTON, CA 92832-3038
(714) 870-6116
Mailing address
233 ORANGEFAIR MALL, FULLERTON, CA 92832-3038
(714) 870-6116
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT305591
CA
2251S0007X
Sports Physical Therapist
Primary
PT305591
CA
Other
Enumeration date
05/14/2024
Last updated
04/07/2026
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