NPI | 1548374473 |
---|---|
Entity Type | Organization |
Authorized Contact | PIERRE A LUYCKX Owner 269-556-0881 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501008773) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501007604) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2011-02-04 |