| NPI | 1033742820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE P MARTIN Occupational Therapist 810-610-2423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |