Individual
ANDRE PORTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1055 N LA CANADA DR # DR123, GREEN VALLEY, AZ 85614-3700
(520) 462-0439
(520) 462-0438
Mailing address
15410 S MOUNTAIN PKWY STE 112, PHOENIX, AZ 85044-6691
(480) 706-1161
(480) 706-7997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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