Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 5501001803 | MI |
NPI | 1386135093 |
---|---|
Provider Name | Laura Ann Poirier |
First Address | Warren, MI 48088-6683 |
Second Address | Warren, MI 48088-6683 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2018 |
Last Update Date | 29/05/2018 |