Individual
ALYSSA PORTELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 844-2020
Mailing address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016854
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55010116854
—
MI
05
—
5501016854
—
MI
Enumeration date
03/07/2018
Last updated
03/07/2018
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