| NPI | 1437936192 |
|---|---|
| Doing Business As | PTSPORTSPRO |
| Entity Type | Organization |
| Authorized Contact | TERENCE RODERICK REUBEN Founder/CEO 616-901-3831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2024-04-12 |