| NPI | 1073815361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA FOSNAUGH AVIS Clinic Director 248-353-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MI A106496) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-11-19 |