Dr. Samantha R Porter
Physical Therapist - Orthopedic
10407 Clayton Rd
Frontenac
, Missouri 63131-2909
Dr. Samantha R Porter
Physical Therapist - Orthopedic
10407 Clayton Rd
Frontenac
, Missouri 63131-2909
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Dr. Samantha R Porter
- 9 Statesman Ct
- O Fallon, MO
- Zip : 63368-8502
- Phone :
Second Address
- Dr. Samantha R Porter
- 10407 Clayton Rd
- Frontenac, MO
- Zip : 63131-2909
- Phone : (314) 432-6103
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | 2021030538 | MO |
National Provider Identifier
| NPI | 1003589318 |
|---|---|
| Provider Name | Dr. Samantha R Porter |
| First Address | O Fallon, MO 63368-8502 |
| Second Address | Frontenac, MO 63131-2909 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2021 |
| Last Update Date | 01/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.