NPI 1124071915

Susan Christine Portner, RPT

Practitioner Physical Therapist Mount Vernon, IL

Practice location

Address: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262
Phone: (618) 242-8887
Fax: (618) 244-5537

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 070-005588 (IL)

Other Physical Therapist providers in Illinois →

Registry record

NPI: 1124071915
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 May 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.