| NPI | 1336418870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEACHERA SRIKANTH Physical Therapist 989-971-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MI 5501012227) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2012-04-05 |