| NPI | 1023291937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAILESH SATPATHY President 269-903-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501006896) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2014-10-02 |