| NPI | 1558646109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID COLUMB President 906-630-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501013362) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2012-06-21 |