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Individual

DR. PATRICK PORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 658-7350
Mailing address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 658-7350

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070021030
IL

Other

Enumeration date
05/21/2015
Last updated
09/02/2021
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