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DAMHNAIT PORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1453 RIVERSTONE PKWY, STE 170, CANTON, GA 30014-5603
(770) 704-0774
(770) 704-0779
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
23957
MA
225100000X
Physical Therapist
Primary
PT012207
GA

Other

Enumeration date
05/09/2014
Last updated
03/01/2016
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