Individual
LARRY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4386 CONNER ST APT 411, DETROIT, MI 48215-2273
(313) 618-4070
Mailing address
4386 CONNER ST APT 411, DETROIT, MI 48215-2273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
MI
374J00000X
Doula
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/06/2026
Last updated
04/23/2026
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