| NPI | 1467464206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY LOU CARRIER President 269-372-8483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501011355) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-12-20 |