COURTNEY PORTER

BLACKFOOT, ID
NPI1497193759
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-2884)
Enumeration Date2013-06-10
Last Update Date2013-06-10
Business Address
-- COURTNEY PORTER PTA
7 N 600 W
BLACKFOOT, ID 83221-5533
Phone number: 208-782-2267
Mailing Address
-- COURTNEY PORTER PTA
1779 MORNING GLORY LN
POCATELLO, ID 83201-1925
Phone number: 208-406-1062
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