| NPI | 1427678861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN DANIELLE STEWART Executive Director 616-403-3848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-04-24 |