| NPI | 1043470891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE NICHELLE KOENIGSHOF President 269-687-9110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501011329) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-30 |