| NPI | 1790365997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDY LOUISE JOHNSON Physical Therapist, Owner 231-649-1288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-04-12 |