| NPI | 1093943664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN M PETROVICH Sole Mbr 269-568-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201006389) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |