DENISE DIANE PORTER

ATHENA, OR
NPI1568902096
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  07234)
Enumeration Date2017-03-02
Last Update Date2017-03-02
Business Address
MRS. DENISE DIANE PORTER
704 N 3RD ST.
ATHENA, OR 97813-0506
Phone number: 541-969-2529
Mailing Address
MRS. DENISE DIANE PORTER
704 N 3RD ST
ATHENA, OR 97813-0506
Phone number: 541-969-2529