| NPI | 1104033182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD BROCKEY Physical Therapist 248-353-7507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501001690) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |