| NPI | 1497093058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANEL BENORE Business Owner/Sole Member 269-429-5447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |