NPI | 1083686083 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD JEFFRIES President 586-779-7970 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2006-02-03 |
Last Update Date | 2012-11-05 |