| NPI | 1063736296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFONSO EMANUEL RODRIGUEZ Owner 574-361-9396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501004277) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |