| NPI | 1053774091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NICHOLAS WEBER COO 586-350-2644 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2019-02-06 |