| NPI | 1891021226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET LYNN MAHONEY Owner 517-896-8551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MI 5501001955) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |