| NPI | 1740298702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA BAUER Owner 989-430-9457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501010076) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MI 5201004579) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2009-02-24 |