| NPI | 1881126761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ROBERTS Physical Therapist / Owner 616-541-0451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501016851) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |