| NPI | 1588623847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LAURENT Authorized Official 616-356-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: N/A) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2018-04-30 |