| NPI | 1083380729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GASSO Managing Member 248-915-8592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2021-08-23 |