| NPI | 1700647054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS E WALTERHOUSE Physical Therapist 231-329-5518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |