| NPI | 1447443072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN E SPRAGUE Co Owner 231-755-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501006200) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-09-26 |