Shanaia Porter, PTA

NPI #1487308805 in Leesburg, Florida

Provider Information

NPI Number
1487308805
Entity Type
Individual
Name
Shanaia Porter, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Feb 4, 2022
Last Updated
Feb 4, 2022

Practice Location

Address
701 N 14TH ST STE 1
State
Florida
ZIP Code
34748-4205
Phone
(352) 314-3874

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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