Individual
HALEY MAY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
701 E MAIN ST, HART, MI 49420-1168
(231) 873-6026
Mailing address
7436 NORTHERN DR, PENTWATER, MI 49449-9742
(231) 903-7280
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013600
MI
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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