| NPI | 1528080629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT HANNEKEN Owner/PT 616-392-2172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501003223) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-09-22 |