| NPI | 1427184589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK CHRISTOPHER RANDALL Owner 616-340-6407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501005678) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2008-02-12 |