| NPI | 1578961827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DRAKE Owner/Manager 231-632-4453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MI 5501013714) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |