Porter, Stephanie S

Porter, Stephanie S is an individual health care provider with primary practice located at 1265 Boardman Canfield Rd , Boardman OH 44512-4004. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Porter, Stephanie S can be contacted via phone (330) 758-9400.

Contact Information

Primary practice address
1265 Boardman Canfield Rd Boardman OH 44512-4004
Phone: (330) 758-9400
Fax: (330) 726-8676
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT008791 Ohio

Profile Details

NPI number 1659327880
LBN Legal business name Porter, Stephanie S
Credentials L.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Feb 18th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659327880 NPPES
Ohio MEDICAID 2450904

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