Individual
MS. LISA MARIE PORZADEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
904 RIVERBED DR, ST 27, HOLLY, MI 48442-1574
(248) 249-3854
(248) 382-5453
Mailing address
904 RIVERBED DR, ST 27, HOLLY, MI 48442-1574
(248) 249-3854
(248) 382-5453
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501000742
MI
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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