Dawn Porter, PTA, ATC

NPI #1740882968 in Moline, Illinois

Provider Information

NPI Number: 1740882968
Entity Type: Individual
Name: Dawn Porter, PTA, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA, ATC
Enumeration Date: Nov 12, 2020
Last Updated: Nov 12, 2020

Practice Location

Address: 555 VALLEY VIEW DR
City: Moline
State: Illinois
ZIP Code: 61265-6138
Phone: (309) 764-9675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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