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1083104301
JENNIFER LEE PORTER
COVINGTON, LA
NPI
1083104301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 09398)
Enumeration Date
2018-05-11
Last Update Date
2018-05-11
Business Address
JENNIFER LEE PORTER DPT
301 N HIGHWAY 190 STE C2
COVINGTON, LA 70433-5057
Phone number: 985-773-1500
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Mailing Address
JENNIFER LEE PORTER DPT
1000 OCHSNER BLVD
COVINGTON, LA 70433-8107
Phone number: 985-875-2777
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