| NPI | 1689408825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACAYLA VANNATTER Doctor Of Physical Therapy 231-923-0794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |