Individual
BENJAMIN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 HOLT DR, BIGFORK, MT 59911-6218
(406) 837-3255
Mailing address
850 HOLT DR, BIGFORK, MT 59911-6218
(406) 837-3255
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21835
MT
225100000X
Physical Therapist
2560
ND
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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