| NPI | 1063980373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SCOTT BROADWORTH Owner/Physical Therapist 810-347-5219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |