CHARLES CASEY PORTER

COLUMBUS, MS
NPI1295032118
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA3245)
Enumeration Date2011-02-13
Last Update Date2011-02-13
Business Address
Mr. CHARLES CASEY PORTER PTA
230 AIRLINE RD
COLUMBUS, MS 39702-6348
Phone number: 662-327-9404
Mailing Address
Mr. CHARLES CASEY PORTER PTA
602 OLD WEST POINT RD
STARKVILLE, MS 39759-2686
Phone number:
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