| NPI | 1356415483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ANN CARLSON VP Treas 616-522-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501003003) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |