| NPI | 1093157802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELI COLEMAN Administrator Executive 313-566-4828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |