Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Tina Marie Porta, COTAL

Individual provider Contractor · NPI 1154647139

Mrs. Tina Marie Porta, COTAL is a Contractor in Macomb, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2010
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Practice location Address checks out

15618 Eton Ct
Macomb, MI 48044 Not confirmed with CMS for 16 years — call before visiting
Phone: (586) 791-9204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence L1568305 (MI)

Record details

NPI number1154647139
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTAL
Sole proprietorYes
NPI enumeratedApril 15, 2010
Last updated in NPPESApril 15, 2010

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