| NPI | 1275714909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT N WIERSMA President 616-847-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501001249) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |