Portal Physical Therapy

NPI #1861098741 in Norfolk, Virginia

Provider Information

NPI Number: 1861098741
Entity Type: Organization
Organization Name: Portal Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Dec 7, 2020
Last Updated: Dec 7, 2020

Practice Location

Address: 2460 E LITTLE CREEK RD UNIT B
City: Norfolk
State: Virginia
ZIP Code: 23518-3231
Phone: (757) 544-8312

Authorized Official

Name: TAYLOR CLARK, DPT
Title: OWNER/PHYSICAL THERAPIST
Phone: (757) 544-8312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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