KELLY PORTER

VALLEJO, CA
NPI1336950237
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT306952)
Enumeration Date2025-01-20
Last Update Date2025-01-20
Business Address
KELLY PORTER
975 SERENO DR
VALLEJO, CA 94589-2441
Phone number: 707-651-1000
Mailing Address
KELLY PORTER
1827 ALABAMA ST
VALLEJO, CA 94590-4739
Phone number: