| NPI | 1659617801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVA GUERRA CEO 989-401-2480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501006703) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |