| NPI | 1669657383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL L MUNN Billing Clerk 810-987-9871 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI GJ050081) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |