| NPI | 1003025263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK THOMAS STANSBERRY Owner 989-779-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501005383) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-06-21 |