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Carol Portera

Physical Therapist in Lexington, SC. Individual provider (NPI-1).

NPI number1366076465
StatusActive
Last updated in NPPESFeb 27, 2020

Details

NPI
1366076465
Entity type
Individual (NPI-1)
Name
Carol Portera
Sex
Female
Sole proprietor
No
Enumeration date
Feb 27, 2020
Certification date
Feb 27, 2020
Last updated
Feb 27, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist10127SCYes

Practice location

800 N Lake Dr
Lexington, SC 29072-2903

Phone 877-407-3422 · Fax 877-407-4329

Mailing address

7 Carnegie Plz
Cherry Hill, NJ 08003-1000

Phone 877-407-3422 · Fax 877-407-4329

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