| NPI | 1629220835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES OWENS Member/Owner 616-956-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501010836) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-12-01 |