SHAUN PORTER

PORT ORANGE, FL
NPI1992529556
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  42478)
Enumeration Date2024-11-11
Last Update Date2024-11-11
Business Address
SHAUN PORTER PT, DPT
733 DUNLAWTON AVE STE 103
PORT ORANGE, FL 32127-4226
Phone number: 386-756-0077
Mailing Address
SHAUN PORTER PT, DPT
415 S VILLA SAN MARCO DR # 3-306
SAINT AUGUSTINE, FL 32086-4124
Phone number: 423-367-1679