MRS. Portia Marie Fore, P.T.A.

NPI #1841444163 in Herrin, Illinois

Provider Information

NPI Number
1841444163
Entity Type
Individual
Name
MRS. Portia Marie Fore, P.T.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
P.T.A.
Enumeration Date
Nov 13, 2008
Last Updated
Nov 13, 2008

Practice Location

Address
1901 N 13TH ST
City
Herrin
ZIP Code
62948-2839
Phone
(618) 942-3274

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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