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1881694602
MICHELLE PORTER
HERNDON, VA
NPI
1881694602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305203769)
Enumeration Date
2005-07-22
Last Update Date
2007-07-08
Business Address
-- MICHELLE PORTER PT
13039 WORLDGATE DR
HERNDON, VA 20170-4374
Phone number: 703-742-8758
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Mailing Address
-- MICHELLE PORTER PT
9900 MAIN ST SUITE 200A
FAIRFAX, VA 22031-3907
Phone number: 703-279-4394
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