| NPI | 1053356907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERVACIO MARASIGAN LAQUI President CEO 586-983-2498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501007799) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |