| NPI | 1477707743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ANN PARKER President 906-225-7960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MI 5501003484) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-12 |