| NPI | 1043520752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JOSEPH VAN HULLE Member / Partner 586-344-7449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: MI 5501010847) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2011-04-25 |