| NPI | 1043602436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARISS TIFFANI PIERCE Physical Therapist 313-799-0308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501015283) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |