| 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 |