| NPI | 1073016614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJ NIJJAR CEO 734-637-7540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501014085) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2025-01-15 |