JUSTIN TERRY PORTER

WALLA WALLA, WA
NPI1396573820
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  P160857473)
Enumeration Date2024-07-25
Last Update Date2024-07-25
Business Address
JUSTIN TERRY PORTER
380 CHASE AVE
WALLA WALLA, WA 99362-2924
Phone number: 509-897-8600
Mailing Address
JUSTIN TERRY PORTER
2994 BARNEY RD
TOUCHET, WA 99360-9681
Phone number: 509-540-9137
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