| NPI | 1770959728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON CRAIG WHITFIELD Owner 231-838-2087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501011595) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-10-16 |