| NPI | 1447990171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA MONCADA-SULLIVAN Physical Therapist/Owner 517-256-0548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-03-30 |