NPI | 1093933806 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY W THOMAS Practice Manager 248-616-1170 |
Organization Subpart ? | No |
Primary Taxonomy | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: MI 208100000X) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2021-07-23 |