Organization
AGE STRONG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY PORTER PT (OWNER)
(248) 812-9272
Entity
Organization
Contact information
Practice address
2655 E OAKLEY PARK RD STE 202, COMMERCE TOWNSHIP, MI 48390-1684
(248) 812-9272
Mailing address
2655 E OAKLEY PARK RD STE 202, COMMERCE TOWNSHIP, MI 48390-1684
(248) 812-9272
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/31/2024
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