| NPI | 1346657673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN LEIGH BLOOMQUIST Owner 616-648-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501008415) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |