| NPI | 1255595963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN M PETROVICH Managing Member 269-568-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201006389) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501007813) |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |