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 |