Individual
THOMAS S PORTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
(304) 599-2515
(304) 285-3738
Mailing address
943 MAPLE DR, MORGANTOWN, WV 26505-2812
(304) 599-2515
(304) 285-3738
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
002167
WV
225100000X
Physical Therapist
Primary
PT021699
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010192
—
WV
Enumeration date
10/02/2007
Last updated
05/10/2022
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