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 |