Individual
MATT PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1401 S BERETANIA ST STE 610, HONOLULU, HI 96814-1873
(314) 255-8826
Mailing address
5520 OPIHI ST, HONOLULU, HI 96821-1926
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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