| NPI | 1972860252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SCOTT CARTER Owner, PT 616-249-8141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2022-07-21 |