| NPI | 1831911551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH OMALLEY Owner 989-486-1232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |