| NPI | 1437217296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN T MARQUEZ President Co Owner 269-288-0257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501007813) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501007682) |
| 225X00000X Occupational Therapist (Licence: MI 5201002348) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-10-08 |