| NPI | 1679965040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE L ECKHOUT Office Manager 989-684-5009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: MI 5501001919) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |