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 |