| NPI | 1992884886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M RUCKER Enrollment & Patient Accts Manager 517-355-8462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2018-04-05 |