MR. Thomas Steven Portner, PT

NPI #1861602617 in Carbondale, Illinois

Provider Information

NPI Number: 1861602617
Entity Type: Individual
Name: MR. Thomas Steven Portner, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 200 N EMERALD LN
Address 2: 1A
City: Carbondale
State: Illinois
ZIP Code: 62901-2100
Phone: (618) 549-9449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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