| NPI | 1083686596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANSOUR MIKY President 906-225-7740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301082652) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2008-05-20 |