| NPI | 1871728816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE REISTER Billing Specialist 616-281-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |