| NPI | 1093169971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED A MAHMOUD Physical Therapist 313-575-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501014520) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |