| NPI | 1215260658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL A. SHAFER President 517-394-0775 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501011899) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-18 |