| NPI | 1508849084 |
|---|---|
| Other Name | PEGGY PORTWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CA G38758) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2007-07-08 |