Individual
RYAN WILLIAM PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1602 N HIGHWAY 17, MOUNT PLEASANT, SC 29464-3310
(843) 800-0773
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
(615) 373-7116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10877
SC
225100000X
Physical Therapist
Primary
CP024828T
NJ
Other
Enumeration date
09/09/2021
Last updated
09/20/2023
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