| NPI | 1053599340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL M PHILLIPS CEO 269-377-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201006390) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601004162) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |