| NPI | 1871685511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE WILLEMS Billing Manager 269-372-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-06-26 |