NPI | 1053765743 |
---|---|
Entity Type | Organization |
Authorized Contact | ATILANO MANUELITO MENDOZA MANALESE Owner 248-308-8215 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501011779) |
Enumeration Date | 2016-04-19 |
Last Update Date | 2016-04-19 |