Individual
MRS. JODI E PORTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1660 FORT ST, TRENTON, MI 48183
(734) 304-4159
Mailing address
22276 SILVER CREEK LN, ROCKWOOD, MI 48173-1084
(734) 775-5156
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007391
MI
Other
Enumeration date
03/11/2017
Last updated
07/18/2019
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