Justin Terry Porter

NPI #1396573820 in Walla Walla, Washington

Provider Information

NPI Number: 1396573820
Entity Type: Individual
Name: Justin Terry Porter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jul 25, 2024
Last Updated: Jul 25, 2024

Practice Location

Address: 380 CHASE AVE
City: Walla Walla
State: Washington
ZIP Code: 99362-2924
Phone: (509) 897-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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