| NPI | 1144407339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND BURNS Owner 989-573-0891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501003959) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2014-03-09 |