| NPI | 1720182058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASUPATHY VADIVELU Physical Therapist 616-957-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501005841) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2020-08-22 |