| NPI | 1083972400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN ELYSE RICHARDS Doctor Of Physical Therapy 517-575-5493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1186757) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |