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1992282685
ALICIA JOAN PORTER
GROSSE POINTE WOODS, MI
NPI
1992282685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MI 5201007898)
Enumeration Date
2018-07-25
Last Update Date
2018-07-25
Business Address
ALICIA JOAN PORTER OTR/L
900 COOK RD
GROSSE POINTE WOODS, MI 48236-2739
Phone number: 313-821-7083
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Mailing Address
ALICIA JOAN PORTER OTR/L
29195 COOLIDGE ST
ROSEVILLE, MI 48066-2208
Phone number: 586-615-9482
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