| NPI | 1548341845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLYNN MARIE - CANFIELD NELSON Owner 517-323-1682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501003451) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |