Individual
MS. BRENDA MICHELE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
31700 VAN DYKE AVE, SUITE 160, WARREN, MI 48093-7949
(586) 276-8001
(586) 276-8002
Mailing address
31700 VAN DYKE AVE, SUITE 160, WARREN, MI 48093-7949
(586) 276-8001
(586) 276-8002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501008992
MI
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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