| NPI | 1023862729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY STEVEN ESCOTTO Clinic Director/Owner 269-240-4272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-05-28 |