CHRISTOPHER TALIS PORTER

HENDERSON, NC
NPI1528530540
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306605246)
Enumeration Date2019-01-02
Last Update Date2019-01-02
Business Address
CHRISTOPHER TALIS PORTER LPTA
2275 RUIN CREEK RD
HENDERSON, NC 27537-8732
Phone number: 252-325-4535
Mailing Address
CHRISTOPHER TALIS PORTER LPTA
3725 SOUTH BLVD
VIRGINIA BEACH, VA 23452-3355
Phone number: 757-575-7853