MRS. Lisa Marie Porter, PT

NPI #1205108552 in Easley, South Carolina

Provider Information

NPI Number: 1205108552
Entity Type: Individual
Name: MRS. Lisa Marie Porter, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 2, 2012
Last Updated: Feb 2, 2012

Practice Location

Address: 300 N B ST
City: Easley
State: South Carolina
ZIP Code: 29640-2132
Phone: (864) 306-3177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Physical Therapist - Pediatrics — Pediatrics	2251P0200X

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