| NPI | 1568614105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJEEV THAMMAN Vice President 616-942-0922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2016-08-09 |