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Mason G Porter, DPT

Physical Therapist in Hammond, LA. Individual provider (NPI-1).

NPI number1669923397
StatusActive
Last updated in NPPESOct 18, 2016

Details

NPI
1669923397
Entity type
Individual (NPI-1)
Name
Mason G Porter
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Oct 18, 2016
Last updated
Oct 18, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist09399LAYes

Practice location

2204 Robin Ave
Hammond, LA 70403-5751

Phone 985-542-7878 · Fax 985-542-4396

Mailing address

2204 Robin Ave
Hammond, LA 70403-5751

Phone 985-542-7878 · Fax 985-542-4396

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