| NPI | 1053501627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIRAM SRINIVASAN President 586-991-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501005297) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501007195) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |