| NPI | 1003297110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA QUIROGA Owner 734-347-1547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OH 3905) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2019-08-22 |