| NPI | 1124866249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY OTT Physical Therapist 269-757-2539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-16 |