| NPI | 1104268093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI ELLYN BROWN BUDDE Owner 616-322-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OH 012147) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |