| NPI | 1912040098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY PUTVIN CEO, Physical Therapist 810-923-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MI 5501001469) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2009-05-21 |