NPI | 1871788489 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY L GODDARD Owner 810-230-1030 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2007-09-07 |
Last Update Date | 2008-01-28 |