| NPI | 1992712053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RUCKER Enrollment & Patient Accts Manager 517-884-2976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2018-04-05 |