Andrea Leigh Porter PTA

NPI 1497001010 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1497001010
Gender Female
Enumeration Date 08/01/2012
Last Updated 08/05/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
4645 BELPAR ST NW
CANTON OH, 44718-3602, US
Phone (330) 493-4210
Fax (330) 493-4744
Business Location
353 26TH ST SE
MASSILLON OH, 44646-5087, US
Phone (330) 933-8968
Fax
Toxanomy
Taxonomy Code 225200000X
License State Ohio
License Number PTA-08525
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According to our database, Miss Andrea Leigh Porter PTA NPI is 1497001010, taxonomy code is 225200000X and license number is PTA-08525, license state is located at Ohio. Andrea Leigh Porter PTA physically located at 4645 Belpar St Nw, Canton OH, 44718-3602. NPI Number Andrea Leigh Porter PTA has the Individual type.

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1497001010 NPI number is provided on an as is basis without warranty of any kind. 1497001010 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Leigh Porter PTA are for informational purposes only.