Individual
HOLLY JOANNE PORKKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1155 N MAYFAIR RD, SPINE CARE CLINIC, MILWAUKEE, WI 53226-3462
(414) 955-7199
(414) 955-0110
Mailing address
1155 N MAYFAIR RD, SPINE CARE CLINIC, MILWAUKEE, WI 53226-3462
(414) 955-7199
(414) 955-0110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9985-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912376021
—
WI
Enumeration date
09/18/2015
Last updated
10/06/2015
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