Individual
MRS. BRENDA LYNN PORTER-POLICOFF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
216 HIGHLAND AVE, CAMBRIDGE, OH 43725-2528
(740) 435-8181
(740) 435-8101
Mailing address
503 N 11TH ST, CAMBRIDGE, OH 43725-1966
(740) 432-9664
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00001224
OH
Other
Enumeration date
02/16/2006
Last updated
07/08/2007
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