| NPI | 1770080236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HAGGERTY Na 616-840-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MI 550107858) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |