JEFF GLEN PORTER

MOBILE, AL
NPI1255510681
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AL  PTH4382)
Enumeration Date2007-11-01
Last Update Date2007-11-01
Business Address
Mr. JEFF GLEN PORTER PT
273 AZALEA RD
MOBILE, AL 36609-1970
Phone number: 251-476-0192
Mailing Address
Mr. JEFF GLEN PORTER PT
273 AZALEA RD
MOBILE, AL 36609-1970
Phone number: 251-476-0192
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