Scott Porter

NPI #1164985453 in Lithia, Florida

Provider Information

NPI Number: 1164985453
Entity Type: Individual
Name: Scott Porter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Apr 12, 2019
Last Updated: Apr 12, 2019

Practice Location

Address: 16627 FISHHAWK BLVD STE 103
City: Lithia
State: Florida
ZIP Code: 33547-4369
Phone: (813) 737-8550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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