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Tina Porta, COTAL

NPI 1154647139 · on the registry since 2010 · sole proprietor

Practice

Address
15618 Eton Ct.
Macomb, MI 48044
Phone
(586) 791-9204

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-04-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan