PORTIA MARIE FORE, P.T.A

NPI: 1841444163 · Individual · Active

Primary Specialty

Physical Therapy Assistant

Practice Location

1901 N 13TH ST
HERRIN, IL 62948-2839 Map ↗
Phone: 618-942-3274
Fax: 618-942-8240

All Specialties & Licenses

  • Physical Therapy Assistant Primary (license: 160.004955, IL)

NPI Registration

Enumerated: 2008-11-13

Last CMS Update: 2008-11-13