| NPI | 1497268460 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARKUS MICHAEL MUNGER PT/Owner 810-385-7405  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 225100000X Physical Therapist | 
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy | 
| Enumeration Date | 2017-11-13 | 
| Last Update Date | 2024-06-03 |