| NPI | 1669133229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE WOODBRIDGE O PT Ometrist/Owner 989-860-2994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-06 |