| NPI | 1073719845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE VAN DRIL SWAIN Physical Therapist 269-381-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501005239) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-09-18 |