| NPI | 1104386143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD W WOHLFEIL Owner 586-430-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2020-06-09 |