| NPI | 1790187235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SPRAGUE PT A 231-755-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501009094) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |