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Search › Illinois › 225200000X

Heather Porter, PTA

NPI 1336116615 · on the registry since 2006 · sole proprietor

Practice

Address
1503 Lindell Blvd
Granite City, IL 62040
Phone
(618) 709-4125
Clinicians at this address
3

Additional practice sites

  • 510 W Palouse River Dr, Moscow, ID
  • 201 Bell St, Alhambra, IL

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225200000X
225200000X
Licence states on file
ID, MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-12-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois