| 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 |