| NPI | 1114428893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETTIE J DAVENPORT Physical Therapist Assistant 517-694-2764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |