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 |