MRS. Heather Roan Porter, PTA
NPI #1336116615 in Granite City, Illinois
Provider Information
- NPI Number
- 1336116615
- Entity Type
- Individual
- Name
- MRS. Heather Roan Porter, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Mar 4, 2006
- Last Updated
- Dec 13, 2022
Practice Location
- Address
- 1503 LINDELL BLVD
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-3837
- Phone
- (618) 709-4125
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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