| NPI | 1134360035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY DAVIS Physical Therapist/President 269-969-3766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501010415) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |