Individual
JOSEPH FRANCIS LAPORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2800 EIFFEL DR, HIGHLAND, IL 62249-4863
(618) 444-8180
Mailing address
2800 EIFFEL DR, HIGHLAND, IL 62249-4863
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
IL
Enumeration date
02/25/2021
Last updated
02/25/2021
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