| NPI | 1669687554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOELEEN L HEATH Owner 269-353-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: MI 17406A) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |