| NPI | 1376628446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASUPATHY VADIVELU President 616-855-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501005841) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501015732) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-08-13 |