| NPI | 1073010732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH KING Owner 517-499-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MI 5501017454) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |