NPI | 1114226222 |
---|---|
Entity Type | Organization |
Authorized Contact | KATIE PRING PT Suprivisor 586-582-0340 |
Organization Subpart ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: MI L1862359) |
Enumeration Date | 2011-03-16 |
Last Update Date | 2011-03-16 |