| NPI | 1740714310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY JEANNE WILSON Physical Therapist, Business Owner 989-330-0396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2020-08-12 |