| NPI | 1013981760 |
|---|---|
| Former Legal Business Name | SPORTS AND ORTHOPEDIC LEADERS, INC |
| Entity Type | Organization |
| Authorized Contact | RICHARD LEAVER Owner/Provider 616-356-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2021-10-26 |