| NPI | 1578796363 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JIMMIE JAMES ANTHONY President 231-728-4102 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501007594) | 
| Enumeration Date | 2009-08-27 | 
| Last Update Date | 2009-10-06 |