| NPI | 1104299908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE MUHL PT A 810-300-9544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 2117028) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-03 |