| NPI | 1003993312 |
|---|---|
| Former Legal Business Name | TEAM WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DANIEL RYAN Owner 586-552-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-03-26 |