| NPI | 1194113993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA A RICHARDSON Owner 231-943-1454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 5101013386) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2015-02-27 |