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1780655092
TRACY PORTER
DES MOINES, IA
NPI
1780655092
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Former Name
TRACY BRIGHTMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 02588)
Enumeration Date
2006-01-27
Last Update Date
2020-02-19
Business Address
TRACY PORTER PT
3200 GRAND AVE
DES MOINES, IA 50312-4104
Phone number: 515-271-1717
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Mailing Address
TRACY PORTER PT
3200 GRAND AVE
DES MOINES, IA 50312-4104
Phone number: 515-271-1717
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