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1528530540
CHRISTOPHER TALIS PORTER
HENDERSON, NC
NPI
1528530540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306605246)
Enumeration Date
2019-01-02
Last Update Date
2019-01-02
Business Address
CHRISTOPHER TALIS PORTER LPTA
2275 RUIN CREEK RD
HENDERSON, NC 27537-8732
Phone number: 252-325-4535
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Mailing Address
CHRISTOPHER TALIS PORTER LPTA
3725 SOUTH BLVD
VIRGINIA BEACH, VA 23452-3355
Phone number: 757-575-7853
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