| NPI | 1093091316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHAKARAN JEGADEESH Owner 248-552-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501007156) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |