| NPI | 1952420358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA LEE NEVENHOVEN Office Manager 906-228-2595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501001972) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |