Porter, Heather Roan

Porter, Heather Roan is an sole proprietor health care provider with primary practice located at 1503 Lindell Blvd , Granite City IL 62040-3837. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Porter, Heather Roan can be contacted via phone (618) 709-4125.

Contact Information

Primary practice address
1503 Lindell Blvd Granite City IL 62040-3837
Phone: (618) 709-4125
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA-333 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2020010583 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160.008943 Illinois

Profile Details

NPI number 1336116615
LBN Legal business name Porter, Heather Roan
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2006
Last updated Dec 13th, 2022 - about 3 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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