| NPI | 1336298421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL PHILLIPS Physical Therapist 906-228-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |