| NPI | 1083203400 |
|---|---|
| Doing Business As | ONWARD GRAND RAPIDS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH HANISKO Owner/PT 989-780-2748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |