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 |