| NPI | 1285806133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA OTT Practice Manager 616-392-3363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MI TF005434) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2012-01-06 |